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.

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

Self-Referral Form

Required
Required
Required
Required
Required
Required
Date of Birth Required
Address Required
Are children's social care involved?
Have you previously served in the UK armed forces (including TA)?
Required