London Stalking Support Service Referral Form

This form is for professional use for cases located in London only. For self-referrals or cases outside of London, please call 0808 802 0300.

Please note, submission of referral does not guarantee access to advocacy services. We do not operate a waiting list. Until the referral has been reviewed and an outcome agreed, responsibility for risk management is retained by the referring organisation.

In making this referral, you are confirming that you have the full, informed consent of the client to share their information with the National Stalking Helpline, and that they understand how we will store and process their data. Full details of how we handle personal data can be found at https://www.suzylamplugh.org/privacy-policy. Should you or the client require the privacy policy in a different format, please contact the Trust by phone on 0207 091 0014 or emailing [email protected]

Referrer’s Details

Please only continue to complete this form if the case is in London. We are unable to offer advocacy support to cases outside of London at this time.

Details of person/case you are referring
Details of Stalker (if known)
Reason for referral