The Society of St James



Help us help you make your life better

If you are over 18, concerned about your drug and/or alcohol use and a resident of Portsmouth, please help us to help you make your life better by filling out this form

How can we best meet those needs?

Please complete these sentences where applicable:

Please confirm that you/the client has consented to this referral
Sorry, we are unable to assist with this referral if the person has not consented to us making contact with them
Pressing submit on this form means you are giving your permission for The Society of St James to store the information you have provided and contact you in-line with Data Protection legislation (https://www.gov.uk/data-protection). We will contact you on the phone number or email provided so we can determine how we can best support you in our service.