For Someone Else

If you’re concerned about a loved one’s use of alcohol or other drugs, we’re here to help. By completing the form below, you can connect them with support and care. Our team will reach out within 2 working days gently and respectfully to offer guidance and assistance, always keeping their wellbeing at the heart of the process.

To connect with any of our community counselling services call us on 0800 499 469

Your name

Relationship to the person

Do you have consent of the person you are concerned about to contact us?

Please note: We need the person’s consent before contacting them directly. If you’d like us to follow up with you instead, please leave your preferred contact number below

The person’s name

The persons contact number

Area they are living

Person’s Date of Birth

What are you/they concerned about?

Address

Message Sent.