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Location: Online Forms
Windsor and Maidenhead Social Care Contact Us / Self-Referral Form
This form should be used to record your concerns for anyone living in the Royal Borough of Windsor and Maidenhead area.
Please note that we will treat your information confidentially.
If you have any concern that a child/young person may be at risk of harm or neglect, please contact the Duty Team in Social Care Services straight away on:
01628 683150 or out of hours 01344 786543.
For a vulnerable Adult, please call 01628 683744.
All fields marked with (*) are mandatory.
Which service do you require
Children & Family Services
Adult Services (Older People, Physical Disabilities, Mental Health, Learning Disabilities, Sensory Impairments or Drug or Alcohol Dependency)
Name & address details of the person you are concerned about & age if they are a child.
Details of your concerns
Have you contacted us previously?
Please Note: after you have submitted this form, confirmation of submission will result in a reference number being displayed on screen
DATA PROTECTION ACT
The information you provide is protected by the Data Protection Act. Strict controls are in place to safeguard such data. Further details are in our leaflet “ Protecting your personal information” which can be supplied on request. By giving information and signing this form you agree that the information may be shared with other parts of the Local Authority and other agencies with whom Social Services work so that the appropriate services may be arranged. Information may be sent to you as a result of this assessment.
How do you rate this information/service?
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This page was updated on: 22 January 2008
Copyright © 2012 The Royal Borough of Windsor and Maidenhead
, Town Hall, St Ives Road, Maidenhead, Berkshire SL6 1RF
Published: Wed, 11 Sept 2013 14:38
Author: Simon Arthur