Do any of the following issues affect the child? If so please provide details within the reason for Referral.
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Missing incidents.
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Domestic violence.
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Drug/Alcohol use.
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Mental Health.
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Genital mutilation.
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Forced
marriage
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Honour based violence.
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Child sexual exploitation.
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If the child is at risk of child sexual exploitation please download and complete a CSE1 form and attach along with this MARF. CSE 1 Forms are available to download via www.liverpoolscb.org
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Reasons for the Referral- Clearly state the cause(s) for concern. Please be as specific as possible. Please refer to the Levels of Need Framework- to access click on the following link: Responding to Needs Guidance and Levels of Need Framework.
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Have you received consent from the parent or those who have parental responsibility to make this referral to Children’s Services? (If not please state the reason why)
It is important that the parents are aware of and agree with you making the referral, unless this would place the child at risk of harm.
Please Note!
You can refer safeguarding concerns without consent.
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Are there any special requirements for the child/family? For example an interpreter or signer or any other additional requirements relating to special needs or disabilities.
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Feedback to referrer:
For office use only.
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