Galop

Galop

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0800 999 5428

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Referrer Details

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Make a referral

Organisation (if regional please specify i.e. Victim Support Cumbria):

First Name:

Last Name:

Contact Number:

Email:

Victim Details

First Name:

Last Name:

Contact Number:

Has there been physical abuse or a threat of significant harm?
Did the physical abuse or threat happen within the last 2 weeks?
Has the Respondent abused the victim in the past?
Are bail conditions in place against the respondent?
Are you concerned about the safety or welfare of any children?

Best time to call:

DASH Score:

DARA Score / Priority:

Incident #:

Notes from referrer:

Has the Victim given consent?

Support service for LGBT+ people who have experienced abuse or violence.