Home > Contact > Make a Referral

Your Name (required)

Your Email (required)

Your Telephone number (required)

Name of person you are referring

Address of the person you are referring

Date of birth for person you are referring

Safe contact details for person you are referring

Additional safe contact information
Is it safe to text?Is it safe to leave a message on the house phone?Is it safe to leave a message on the mobile?

Reason for referral. (Please provide as much information as possible including the nature of abuse and the type of support required).

Relationship status

Name of alleged abuser

Are the police involved?
YesNoDon't know

Does the person consent to IDAS support?

Please type the letters and numbers below into the box.


You can also make a referral to us by ringing our helpline on: 03000 110 110

Police and Crime Commissioner, North Yorkshire County Council, City of York Council, Barnsley Metropolitan Borough Council, BBC Children in Need, Leading Light Accreditation by Safe Lives
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