Safeguarding Referral Form - extranetfyldegovuk - extranet fylde gov 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field. This identifies you as the person raising the concern.
3. Next, fill in your service information and contact telephone number. This ensures that the Partnership Officer can reach you for any follow-up questions.
4. In the section labeled 'Describe the nature of the issue', provide a brief outline of your concerns, including any potential risks to health or development.
5. Indicate how immediate the risk is. If there is an immediate danger, remember to call 999 before proceeding.
6. Summarize what prompted your concern in the next field, detailing any signs or evidence that led you to this point.
7. Document any actions you have taken regarding this issue, including discussions with other professionals.
8. Finally, provide the location or address of the individual at risk to ensure proper follow-up.
9. Once completed, forward the form via email to holly.whittaker@fylde.gov.uk or send it to The Partnership Officer at The Town Hall, Lytham St Annes, FY8 1LW.

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