Counselling referral form

First name*

Last name*

My email address*

How would you like to hear from us? We would like to keep you updated and give you the opportunity to support our campaigns and vital work. Please tell us how you would like us to contact you. You can find out more by reading our privacy policy.

This field is hidden when viewing the form

Keep in Touch

Your support means so much to missing people and their loved ones. When someone is missing, we need to act quickly to help people find support and safety. We would love to share more about how you can help the search, support our work and fundraising, and other ways to get involved by keeping in touch from time to time. Please let us know how you would like to hear from the charity by clicking below:

By Text (SMS)
By Phone
By Email
By Post

By Email

Yes
No

By text (SMS)

Yes
No

By Phone

Yes
No

By Post

Yes
No

Contact Preferences

I have previously given contact preferences and I do not want to change them.

Confirm email address*

My mobile number is*

My phone number is*

Enter a postcode to lookup address

Address Line 1*

Address Line 2

Address Line 3

Town or City*

Postcode*

Have you been affected by a loved one going missing?

This information will help us to send you the right information at the right time.

Yes, I have experienced a loved one go missing
No

To find out more about how we handle your data please see our Fundraising Promise and our Privacy and Confidentiality Policies.

CAPTCHA

Sign up to be a Digital Search Hero