Please complete this form if you would like to speak to one of our trained volunteers. The Specialist Nurses will call you back to discuss the one-to-one service, to make sure that it’s right for you at this time. Sometimes we don’t have volunteers available to match your needs. The Specialist Nurses will triage your call and refer you to the service if suitable.
Please note, for confidentiality reasons, it must be the person who would like to use the service that completes this form. You should not complete the form on another person's behalf.
To ensure we match you with the most suitable volunteers, we do share some of the personal information you provide on this form and on the call with our peer support service and our volunteer.
We can also only offer this service to people who live in the UK.