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If you would like us to get in touch with you, please complete the form below as fully as you can, including safe contact details.
You will be contacted by a support worker within three working days at the very latest. Everything you tell us will be confidential*.
Alternatively, telephone us on 0131 603 4865
Speak to us online through our live chat at the following times [TBC]:
Monday to Friday: 12 noon - 4pm
Wednesday evenings: 6pm - 9pm
Safe Harbour is not an emergency service. If you think you or someone else is in danger, please call the emergency services on 999.
*Anything you share with us is private and confidential. The only exception to this would be if criminal activity is disclosed, or there is a serious risk of harm to yourself, others or there are child protection concerns.
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Option 1 Do you require support for yourself?
Option 2 Are you contacting us with a safeguarding concern, or on behalf of someone else?
Option 3 Are you a professional organisation or agency wishing to make a referral?
Even if you are contacting us with a safeguarding concern or support request on behalf of someone else, we will contact you in the first instance to establish the circumstances so please provide your details.
Fields marked with a * are required for us to reply.
[If Q1 selected)
* Your name
Your telephone
Your email
* How would you like us to contact you? (drop down: Call mobile, Text mobile, Email, Post, Call landline, Other)
* For phonecalls or text, what time/s would you like us to contact you?
* Your DoB
* Your full address or location
* Your gender (drop down: M/F/Specify)
* Do you have a disability or additional needs (drop down: N/Y/Specify)
* Are you pregnant? (drop down: N/Y/Specify)
* Are you a parent? (drop down: N/Y/Specify)
* Any information you would like to tell us to help us to provide the best support?
[If Q2 selected]
Please note, we will contact you in the first instance before making any contact with the person requiring support.
Your Details
* Your name
* Your telephone
* Your email
* How would you like us to contact you? (drop down: Call mobile, Text mobile, Email, Post, Call landline, Other)
* For phonecalls or text, what time/s would you like us to contact you?
* Your relationship to the person you are contacting us about (drop down: Close relative, Friend, Neighbour, Work colleague, Other)
Details of person requiring support (as best you can)
Their name
Their telephone
Their email
Best way to contact them (drop down: Call mobile, Text mobile, Email, Post, Call landline, Other)
For phonecalls or text, what time/s would be best to contact them?
* Their age (indicative if not known)
* Their address or location
* Their gender (M/F/Specify)
* Do they have a disability or additional needs (drop down: DK/N/Y/Specify)
* Are they pregnant? (drop down: DK/N/Y/Specify)
* Are they a parent? (drop down: DK/N/Y/Specify)
* Any other information you would like to tell us to help us to provide the best support?
[If Q3 selected]
Your Details
* Name
* Organisation name
* Telephone
Details of person requiring support (as best you can)
* Their name
Their telephone
Their email
* Their age (indicative if not known)
Their address
* Their gender (M/F/Specify)
* Do they have a disability or additional needs (drop down: DK/N/Y/Specify)
* Are they pregnant? (drop down: DK/N/Y/Specify)
* Are they a parent? (drop down: DK/N/Y/Specify)
* Please provide some background to the nature of support required