Helpline 1

Third Party Casework Referral

If you have any questions, please do not hesitate to contact our team by phone on 0141 212 8420

Consent for referral(Required)

Client Details


Is it safe to contact this person?

Please note date format dd/mm/yyyy
DD slash MM slash YYYY

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 the client is currently receiving. Any further relevant supporting information regarding this referral (including a brief history of the client relevant to the case e.g. any mental health issues, experience of domestic abuse or immigration issues and what support they have received to date.)

If your client requires 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)

Referrer Details

Referrer Name

(please provide either a direct line telephone number or an email address that we can contact you on)

DD slash MM slash YYYY