Helpline 1

Sahara Scotland Casework Referral

Please complete the form below for the Sahara Scotland Domestic Abuse & Advocacy service.

Sahara Scotland Self Referral Form

Client (Your) Details

Consent for referral(Required)
I have authorisation to complete this form on behalf of the person specified
Name(Required)

Please select your age range
Please tell us your preferred language. If you require a worker who speaks a language other than English, please specify here: (* Please note, while Amina volunteers speak a range of community languages, we may not be able to accommodate all requests)

It is safe to contact you:

Key Service Criteria

To provide one to one confidential support, advocacy, assistance, and information to any BME / Muslim woman in Scotland for whom any three of the following apply:

  • experiencing or at risk of domestic abuse.
  • women experiencing poor or worsening mental health.
  • women with insecure immigration status and no recourse to public funds.
Any support you are currently receiving from other organisations. Any further relevant supporting information regarding this referral (include a brief history of any mental health issues, experience of domestic abuse or immigration issues and what support you have received to date.)
DD slash MM slash YYYY
Consent(Required)

Please complete the form below for the  Sahara Scotland Domestic Abuse & Advocacy service.