Non recent abuse team referral form

Use this form when an Islington survivor of non-recent abuse needs support or access to services.

Islington Council and Islington Survivors’ Network (ISN), offers a range of support services to survivors of sexual, physical, emotional abuse or neglect experienced whilst resident in Islington children’s homes or when placed in foster care, boarding schools and/or secure units.

For more information about this service, contact us on 020 7527 1848 or survivor.support@islington.gov.uk

If immediate action is required out of hours, call 020 7226 0922 (5pm to 9am).

Referral (details of the person you are referring)

First name

Last name

Date of birth (DD/MM/YYYY or DD-MM-YYYY)

Gender

Ethnicity

Disability

Employed or unemployed

Local authority

Address

Postcode

Phone number

Carer (if applicable)