Make a referral to Iris - Sateda

Details

Service access criteria

Tick to confirm you have checked the service access criteria "16+ service, Available to the Swale area for Women and girls affected by current or historic domestic abuse - this service is aimed specifically at GP referrals."

Your Details

Who are you referring?

Don't know / client doesn't have an email address

Additional referral details

Other:
Other:

Confirmation and consent

Tick to confirm you have gained consent to share this information with the service provider, your organisation and Joy
Tick to confirm the service provider can directly contact the client

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