Referral Form - For Someone Else

Referring Someone Else

Helping someone take the first step

Supporting someone affected by gambling harm can feel overwhelming, and knowing where to start is not always easy. Before completing the form below, please ensure both you and the person being referred have taken the time to read and understand the information below, it will help you both understand how we work and the support we provide.

When you are ready, complete the referral form below and a member of our team will review the information provided and reach out directly to the person seeking support.