Get Rahab Self Referral Form - Reading Gov

The Rahab Self Referral Form is a crucial tool for individuals seeking support and services from the Rahab Project. This guide provides a clear, step-by-step approach to completing the form online, ensuring that you can easily submit your information and request assistance.

Follow the steps to successfully complete the form online:

1. Press the ‘Get Form’ button to access the Rahab Self Referral Form. This will allow you to view and fill out the necessary fields in the provided editor.
2. Begin by entering your first and last name in the designated fields. Make sure to include your home address, or a 'care of' address if applicable.
3. Input your date of birth and contact telephone number(s). If known, please also include your postcode.
4. Indicate how you heard about the Rahab Project by selecting one of the provided options or writing in your response.
5. If you are currently accessing any other services, please list these, including the name of other agencies if relevant.
6. In the SUPPORT section, indicate the type of support you are looking for from Rahab by selecting one or more options from the list.
7. Next, move to the HEALTH section. Answer whether you have a general practitioner (GP) and provide information about your next of kin. Additionally, list any long-term medical conditions you may have.
8. In the SUBSTANCE MISUSE section, indicate whether you have experienced any substance misuse issues, and list any relevant services you may have used.
9. Proceed to the HOUSING NEEDS section. Indicate if you need help accessing accommodation and list any relevant services you have used or would like to use.
10. In the ABOUT YOU section, share any additional information that may be helpful for the Rahab Project to know. This is also where you can express any confidentiality concerns or questions.
11. Once you have completed all sections of the form, make sure to review your information for accuracy. Save your changes, and if needed, download, print, or share the form as required.

Complete the Rahab Self Referral Form online today to access the support you need.