Online referral form

 

For men and LGBTQ+ experiencing domestic abuse in Nottinghamshire

 

Equation’s Domestic Abuse Service for Male and LGBTQ+ Survivors offers free and discreet advice in Nottingham City and county who are experiencing domestic abuse. Support may include practical and emotional assistance, and signposting to other specialist services such as counselling or housing.

If you’re a professional wanting to refer someone, please use this form. 

We aim to get back to you within 3 working days, though during busy times, this may take a little longer. 

Before submitting this form please read our privacy notice. It explains how we will use and protect any information you give us.

 

Check this box to consent to our privacy notice

Is it safe to write to you at the above address?

Is there a safe way we can contact you? For example, a phone number or email account the person using abusive behaviours has no access to

Is it safe to text you?

Is it safe to leave you a voicemail?

Is it safe to send you emails?

Safe days we can contact you

Do you need an interpreter?

Are there children in the household?

If you have pets and are worried about what might happen to them if you leave or stay, we can help find a temporary foster home. Pets are placed with a volunteer foster carer who will look after them in their own home, until they can come back to you. This is available for men living in Nottingham city, Ashfield, Broxtowe, Gedling and Rushcliffe. Is this something you need?

Are the police involved?

Are you referring someone else?

9 + 14 =

0808 801 0327

Call the Men’s Advice Line if you are a man living outside of Nottinghamshire

How you can help

No matter how much time, money or resources you can afford to give, your support will make a difference. 

£10

Give monthly

Could pay for four children
to take part in our early intervention projects

£30

Give once

Could pay for one primary school child to receive our healthy relationship education program

Support equation

Check out the other ways you can support us

 

 

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