You can download our referral form as a Word Document by Clicking the documents below. you can then post this form to
200 Mansfield Road
Email to Notts.firstname.lastname@example.org
Address Line 2
Phone Number (required)
Date of Birth (required)
---White BritishAfricanCaribbeanIndianWhite and AsianPakistaniWhite and Black CaribbeanWhite and Black AfricanWhite IrishOtherPrefer not to say
Substance Impacted By
---AlcoholAmphetaminesAnabolic SteroidsBenzodiazepinesBetelCannabisSynthetic Cannabinoids (E.g Mamba)CocaineCrack CocaineEcstasy (MDMA)GHBHeroinKetamineKhatLSDMagic MushroomsMelanotanMethadone/SubutexNicotineNitrous OxideOther OpiatesPoppersPregablinNPS/Research ChemicalsVolatile Substances (Solvents)
Tell Us About Your Situation
Your Name (required)
Your Email (required)
Explore Family is now run by CGL. All our support services, staff, address and phone numbers have stayed the same, however, our email address is now email@example.com and this website will soon close. In future please find us athttp://www.cgl.org.uk. Just click on the ‘Get help’ tab at the top of the page and chose ‘Find a service’ where you can search the most appropriate support for your situation.
If you have any questions please call us on 0115 978 7161.