Domestic Abuse: Adults ; Perpetrator Service OR Female victims - Merseyside Domestic Violence Service [MDVS] 0151 709 8770

Thank you for visiting our website and considering our services. Due to increased demand, we are currently operating at full capacity. While we are still accepting referrals, please be aware that there is currently a waiting list of up to six weeks before we can begin working with new clients. This ensures we continue to provide the highest standard of support to those already accessing our services.

We are actively working to reduce waiting times. We encourage you to revisit our website in January for updates.

If your situation is urgent or requires immediate assistance, please consider the following resources:

Homepage – National Domestic Abuse Helpline 0800 2000 247

Home – Liverpool Domestic Abuse Service

South Liverpool Domestic Abuse Services

National Stalking Helpline | Suzy Lamplugh Trust 0808 802 0300

Help For Domestic Violence & Abuse Perpetrators | Respect UK 0808 8024040

Refer

Domestic Abuse:
Adults; Perpetrator Service
or victims

Are you a professional referring someone?

Below is a link to our referral form which can be used for adults being referred to us by professionals; this includes survivors experiencing domestic violence, victims of stalking and also referrals for males accessing our perpetrator programme.

Please note at present we predominantly take referrals for people in the Liverpool City Council area.

Please note, the link above will take you to an external website.

Professional Referrals

What service are you referring to?

Referrer Details

Please enter your details below so we can contact you about this if necessary

Referrer Name

Name of organisation

Your phone number

Your email

Please enter information about the person you are referring below.

Details of the survivor or perpetrator

Person's First Name

Person's Last Name

Address

Street Address

Address Line 2

City

Postcode

Person's Email

Person's Phone Number

Person's Date of Birth

Person's Gender

Is English the person's first language?

Has the person consented to the referral?

What is the person's preferred method of contact?

Does the Person have any access or communication difficulties we need to be aware of? If so please describe:

Please briefly describe what the person requires support with (including any including any relevant safeguarding and risk information):

Contact Safety

Is it safe to contact/leave a message?

Additional Information

Is the Person involved in any of the following

Perpetrator or Victims details

In order to process this referral, we will need additional details to ensure we can work in a safe way with all those involved. If you're referring an adult, please provide information on the former/current partner.

Is the other party aware of the referral? If you are unable to supply this information please state “not known” in the relevant boxes and explain why this is below

If you are unable to supply this information please state “not known” in the relevant boxes and explain why this is below.

Why are you not able to provide all the information ?

Who is the additional party?

Other party name

Other party address

Address Line 2

City

Post Code

Other Party Date of Birth

Other Party's Gender

Other Party Email [please state if not known in your response]

Other Party Phone Number [please state if not known in your response]

Details of Children

Name, Date of Birth and who they are living with?

Are there any other contact details we need to be aware of? (i.e. any additional agencies)

Name of Agency

What is their involvement?

Address

Street Address

Address Line 2

City

Post Code

Country

Refer

Domestic Abuse:
Adults; Perpetrator Service
or victims

Are you a professional referring someone?

Please note, the link above will take you to an external website.

Get in touch

Where we are

Navigation

Website Guidance

Your Safety is our
main concern

Your Safety is our main concern

ReferDomestic Abuse: Adults; Perpetrator Service or victims

Are you a professional referring someone?

Please note, the link above will take you to an external website.

Get in touch

Where we are

Navigation

Website Guidance

Your Safety is our main concern

Your Safety is our main concern

Refer

Domestic Abuse:
Adults; Perpetrator Service
or victims

Your Safety is our
main concern