FLOWS referral

This form is for front line agencies, and for statutory agencies such as the police or social services. Use this form to refer an individual to the FLOWS team. The FLOWS team can provide legal advice about a domestic abuse situation.

Please complete these details for the person you are referring. The FLOWS team will contact them on the next working day.

If you are a woman and need our help you can refer yourself directly to FLOWS using our self referral form.

Client's date of birth

DD/MM/YYYY
It’s very helpful for us to have the client’s date of birth so we can carry out a conflict of interest check before we contact them.

E.g. Any time, after 9:30am only.

It’s very helpful for us to have the respondent’s name and date of birth so we can carry out a conflict of interest check before we contact the client. All details remain entirely confidential and the respondent will never be contacted.

Respondent's date of birth

DD/MM/YYYY

Please provide any information that may help us when we contact the client.

Please give us a little more information about this referral. We need to know who you are for monitoring purposes.

If we are able to contact you directly with any queries about this referral, please provide your contact details