Self referral form

You are welcome to use the form below if you would like to know more about a service.

You are also welcome to contact us by phone on 01223 321148 or email us on info@cwrc.org.uk to find out more about what we offer.

Are you a professional?

Self referral form

Please note, we will respond to you as soon as we are able. During busy periods and where staff may be reduced it may take a little longer than expected.

If you require urgent help please contact:

Emergency Services: 999

Mental Health Crisis NHS: 111, option 2

National Domestic Abuse Helpline: 0808 2000 247