Referrals

Underpinned by stringent service level and information-sharing agreements, referrals can be made by partner agencies and services, as well as through self-referrals via walk-ins to the office located at 17 Hainton avenue, Grimsby, North East Lincolnshire. Referrals from partner agencies and services must be submitted via email to referrals@wizer.org.uk to ensure they are logged, processed, and responded to appropriately.

Name

Email Address

Contact Number

Department

Referral Date

Prison Leaver Name

Date of Birth

Release Date

Home Release Address

Current Prison

Next of Kin

Contact Details

Details of current/previous offences:

Is there an indication that any of the offending history or profile of the individual is likely to pose a risk to any member of staff?

Is the individual currently receiving support for mental health related problems?

Are there any current/past substance use issues, and if so, are they currently receiving support/medication?

Does the individual have stable / suitable accommodation on release?

Does the individual consent to this referral and Wizer CIC processing their data in line with GDPR?

Is the individual supervised by a MAPPA, if yes please provide full details?

Please provide any details of additional support the individual may require or benefit from.

Please provide details of any restrictions or conditions the individual must comply with upon release:

Please provide any additional relevant information:

Current risk level

Risk of self-harm

Risk to staff

Risk to others

Referrals

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