First Contact & Consent Form
We are a Wirral-based service helping people across the North West of England only. For national crisis services, please click here.
Get in touch.
So that we can get you the right help, please fill in our first contact and consent form.
IMPORTANT: If you or someone you know is in immediate danger please contact the emergency services on 999. If you need to speak to someone urgently, please visit the crisis services page and contact one of the national helplines available 24/7.
We may be required to share some personal data under the terms of our contract for funding purposes. We provide this as a group statistic rather than individual information. We will ask your permission to share your experience as a case study and you will have the opportunity to decide who and how we share this (i.e. with funders, on social media etc).
By submitting this form, you are agreeing to the information presented above.