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Thank you for considering making a referral to RSVP for support – we know this takes courage & our bold, believing, big-hearted team are for you every step of the way.

The ‘Request for Support’ form below is designed to collect information to find out what support you need & will allow us to start the process of offering you support as quickly as possible.

Please note, we are only able to support individuals in Birmingham & Solihull. We are unable to support adults who have sexual harmed. All information you provide is kept secure & confidential.

To support us in keeping your information secure, please password protect this document before returning it to Please send your password to us in a separate email.

If you unable to open a ‘Request for Support’ form, are experiencing tech difficulties or would prefer to chat it through over the phone, please contact us on 0121 643 0301 and our team can take a referral over the phone with you or we can post the form out to you.

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