Safeguarding Report Form – Vulnerable Adults

Reporting a safeguarding concern

To report a safeguarding concern please either complete the form below or download a paper copy to complete by clicking here.

Important information
Please make sure that you fill in this record within one hour of the incident.
Do NOT discuss with anyone else (including group leaders or carers) except for members of the Safeguarding team.
Please give completed forms directly to the Safeguarding Team ASAP after completion.










Tuesday GroupLife GroupSunday MorningOther



If it was necessary to physically restrain a vulnerable adult, please ensure that a witness completes a separate form.



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