If you want to talk to someone about cutting down on your drinking or drug use, just complete the self-referral form below to get some confidential specialist support.  

Once we have received your referral form, we will aim to contact you by phone or email within 3 working days to discuss the support we can offer you.

Please note, Derby Drug and Alcohol Recovery Service is for residents of Derby City only. If you live in Derbyshire please click here for help.

If you are a professional looking to refer a client, please click here 

Self-Referral Form

Required
Required
Required
Date of Birth Required
Have you previously served in the UK armed forces (including TA)?
Required
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