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Self Referral Form

Self Referral Form

If you or someone you know needs help and you or they live work or study in Newcastle, you can use our Enquiry Form below to contact us. The information that you send will be kept as part of a confidential record of your enquiry and we will use the details to decide how best to help you.

We advise you to read the Terms and Conditions before proceeding with this process. If you live, work or study outside Newcastle, click here for information about contacting the Citizens Advice network.

Personal Details
Personal Details
Address Details
Address Details
Message Details
Reason For Contacting Us
Give as much information about your circumstances and needs as you think is required. Please be as descriptive as possible.
Terms Section
 
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Registered Address: 4th Floor, City Library, Charles Avison Building, 33 New Bridge Street West, Newcastle upon Tyne, NE1 8AX. Registered in England number: 2114435. Registered under the Charities Act number: 1135396. Authorised and regulated by the Financial Conduct Authority FRN: 617674

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