Referral Enquiry

You can enquire about a referral to SARAC using our online form below.

Alternatively, if you’d prefer to talk to someone about support available you can call our services team on: 01283 517185 Please note* Referrals made via our online referral service will only be accessed during office hours 9-5 Monday to Friday You can also leave a message on the 24 hour message line (01283 517185) being sure to leave a name and safe contact number. We aim to respond to messages within 24 hours where possible (excluding weekends). If you believe that yours or someone else’s life is at immediate risk, please dial 999

Online Referral Enquiry Form

Are you referring yourself?(Required)

A referral cannot be taken without the consent of the client(Required)

I confirm the person being referred is aware of the referral

Name of person being referred(Required)

Age of person being referred(Required)

Safe Contact Number(Required)

Postcode or area lived in(Required)

I confirm that it is safe to...(Required)

Contact by phone

Leave a voicemail

Send a text message

Email(Required)

I confirm that it is safe to contact by email...(Required)

Yes

Preferred method of contact(Required)

To be completed if you are referring someone else

Name of Agency or relationship to person being referred

Preferred contact number

Referrer Email

GDPR Consent(Required)

Agree on our terms and condition for using your submitted data.

How did you hear about sarac?

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Referral Enquiry

You can enquire about a referral to SARAC using our online form below.

Online Referral Enquiry Form

Call our confidential helpline on 01283 517185

or email us staff@sarac.org.uk

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