We are a victim focused organisation and as such we do not accept referrals for anyone who is subject (the suspect) to an ongoing police investigation for sexual, domestic or violent offences, or for anyone who may pose a risk of harm to others.
Please confirm that the person being referred does not pose a risk of harm to others, and is not known to Police regarding violent or sexual offences (tick box)*
This referral cannot be submitted unless the above information is confirmed. By ticking this box, you and the person being referred agree for checks to be made regarding their risk status.
Essex Rape Crisis Partnership reserve the right to refuse the provision of services.
Please complete the below form with as much information as possible. We may only disclose information to the referrer about the service user’s attendance with written permission from all parties.
We will not disclose issues discussed without the written consent of the service user.
We will only accept referrals for those who have agreed to attend and who are aware that the referral has been made.
Required fields are shown with a *
By submitting this form you understand that your data is processed in accordance with our privacy notice