RSMS - Bedfordshire OOCD Professionals request for support form

Please complete the below referral form outlining what you would like support/further information on and complete your contact details. Following submission, one of the RSMS team will be in contact with you shortly.

1. Date of request for Bedfordshire Professionals support/information

2. To be eligible to use this service you must be a professional working with a service user (individual who has offended or needs support) who is aged 18 or over and who is a resident in Bedfordshire. Please confirm you meet this criteria. If yes, please continue with the referral.

Yes

3. What is your full name?

4. What organisation do you work for and what is your job role?

5. What is your professional (work) email address?

6. What is the best phone number to contact you on?

7. Reason for referral and any other comments. Please outline what specifically you would like support and guidance with.