Self Referral

If you’re a child abuse survivor living in the East Midlands and feel you could benefit from the services we provide, then please know that you’re not alone and we’re here to help you. If you are located outside our area, please contact The Survivors Trust.

Below is a Self Referral form, please complete this and we will aim to get back in touch within 7 working days.

Please note our working hours are Monday to Friday, 09:30-17:30.

If you have any issues completing the form, get in touch with us.

Black board with words 'YOU ARE NOT ALONE!' written on it