Make a referral.

If you live in the South Eastern Trust geographical area, you can use this form below to refer to Alcohol and You. For other services outside this area use the services finder: http://services.drugsandalcoholni.info

We are currently on a temporary pause in taking new referral forms into Alcohol and You service.

For further help please click here.

We apologise for any inconvenience this may cause.

Name*
What kind of support do you need?
Address*
Street Address Address Line 2 City Post Code
Date of Birth*
Contact Number:*
The Alcohol and You Team will contact you by phone, usually within 3 working days. N.B. If your referral is made over seasonal holiday times there may be a slight delay in response, we appreciate your patience.