Emergency Safety Info

If you are in immediate danger:

  • Call 999 (Police)
  • Free 24hr National Domestic Abuse Helpline: 0808 2000 247

Professional Referral Form

This secure referral form is for professionals such as social workers, GPs, healthcare workers, education staff, and community partners who are referring a service user to Catch Em CIC. We are a survivor-led organisation offering trauma-informed programmes that support survivors, mothers, and young people to rebuild safety, wellbeing, and healthy relationships.

We rise together – stronger, kinder, ready to thrive. By sharing these details, you are helping us offer the right care, at the right pace, for the person you are supporting.

Referrer details

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Service user details

Consent & Information Sharing

Primary Reason for Referral

Known Additional Needs

Data protection & confidentiality: Information shared in this form is handled in line with data protection laws and our safeguarding policy. We only collect details that help us assess suitability for our programmes and plan safe, trauma-informed support. Your referral will be treated as confidential and shared only with relevant Catch Em CIC team members or safeguarding partners where there is a risk of harm or legal duty to share.

What happens next?

Once you submit this form, a member of the Catch Em CIC team will review the referral and get in touch with you to discuss next steps, clarify any information, and explore which of our programmes or consultations may best support the survivor you are working with. Our aim is to work alongside you, so survivors feel held by a whole community of care.

If you would like to find out more about our trauma-informed programmes before referring, you can learn about our programmes or book a consultation with our team.