Thank you for choosing to share your experience with us. This form should take around 15 minutes to complete, depending on how much detail you would like to provide.
The form will ask you:
- What has happened
- Who is involved
- Your contact details
- Optional demographic questions
Once we receive your form, we will review the information included and make a decision on next steps. This will usually involve contacting you to discuss the situation, your needs and wishes. For more information on our process and what to expect, please read [here].
We understand you may be experiencing something difficult and would like to connect you to support. [This] page contains information on the support we offer. We will speak to you about this once we receive your form. Please be aware that this is not an emergency support service, if you are in urgent need of help call 999.
Your data is important to us; we only collect what’s stated in our privacy notice.