Referral form

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We kindly ask that all areas of the form are completed. This will allow us to quickly and effectively identify the client's risk and establish a timely and appropriate support plan.

If you require any support at the time of referral, please call our team on 0203 384 9412 or 0800 0124 924 out of hours.

Receipt of the referral will be within two hours.

The client will be contacted on the same day.

You will receive an update on how the case is progressing within five working days.

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Welcome to our new site. While we sort out a few things, the referral form below will be inactive for a short while. In the meantime, if you have a referral please email us at 

referrals@aanchal.org.uk

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Please include name, contact details, safe time to contact, safest way to contact, a summary of support needed.

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We apologise for the inconvenience and thank you for bearing with us.

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