Safeguarding Referrals

Referral Link

Multi Agency Referral Form


MASH Warwickshire

01926 414 144

01926 886 922 (out of hours)

MASH Warwickshire Website

Pharmacists need to comply with contractual and regulatory requirements for safeguarding children and vulnerable adults.

Multi-Agency Referral & Initial Information Form

This form should always be used to provide written confirmation to Social Services of referrals within 48 hours. Please complete as much information as you can, it will be helpful to the person receiving it. Please put “not known’’ or ‘’not applicable ‘’ as appropriate in any section you are unable to complete.


Providing information for Community Pharmacies about the work of the Local Pharmaceutical Committee and of the Community Pharmacy Services commissioned within Warwickshire


Copyright by Warwickshire LPC. All rights reserved.