You can buy your support from us using your personal budget, a direct payment, other benefits or money that you have.
Please fill in the form below and a member of our team will get back to you as soon as possible to find out more about your needs and to talk to you about developing a tailor-made support package.
Our support request lines are managed between 9.00am and 5.30pm, Monday to Friday (excluding Bank Holidays).
Providing us with the information on this form helps us to ensure that the appropriate local team member contacts you to discuss a possible support package. Please include as much detail as you can.
We will never share the information you submit with any third-party organisation. However, we may also use your information for internal planning purposes, in order to provide a better service to people throughout UK.
If you do not wish to fill in the form, you can contact us directly by email at: [email protected] or by freephone on 0800 0884 377 to enquire about support.
PLEASE NOTE: The support enquiry email address, phone number and webform (below) are not intended as direct support lines, but merely as a form of enquiry. If you require immediate emotional support you can call the Samaritans 24 hours a day and 7 days a week on 08457 90 90 90 (in the UK).