referral forms

If the Substance Misuse Screening Tool indicates a referral, please download and complete our referral form then email the completed form to or post to the address on the right of the screen, or you can fax to 01273 296170

Please remember ru-ok? can’t take referrals for young people aged 18 years or over. Young adults should be referred to Pavilions on 0800 014 9819.