CSI REVIEW & ACTION PLAN - LGBT+ Counselling, Support & Awareness

CSI REVIEW AND ACTION PLAN SAFEGUARDING LEADS ONLY TO COMPLETE

CLIENT NAME *

NAME OF PERSON REVIEWING *

CSI Reference *

NAME OF PERSON WHO MADE REPORT *

Email Address Of Reportee *

Details of Review and Action Plan / Notes *

Submission Date

Submission Time

Hours

Minutes

The CSI Report Is RequiredYesNo

The CSI Report Requires More InformationYesNo

The CSI Report - Sent to Clinical Lead For Info/ActionYesNo

The CSI Report - NOW CLOSEDYesNo