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How to make a referral

We encourage survivors to self-refer to our service. We recognise that in some circumstances this is not possible or that some survivors may need support to do this. In this case, we ask that you have the consent of the survivor to make a referral on their behalf before you contact us.

How to Refer

Our referral process is easy just click on the button below to refer yourself or the button below to make a professional referral for someone you are working with. 

refer yourself button

Professional referral

If you are making a self referral and have accessibility issues using the self referral form you can give us a call and we will complete this with you over the telephone. 

You can call us on 01522 716320 (This is our office number so we won't be able to offer you telephone support from this number. If you need to talk you should call the 0800 number).

You can call us on our support line on 0800 33 4 55 00 (please see opening times)  

Referral Criteria

We support anyone who lives or works in Lincolnshire, who are experiencing, have experienced or have been affected by any form of sexual violence at any point in their lives and are willing to engage in support/therapy relating to these experiences.