How to refer yourself to NWDAS

If you live in the north of Westminster borough and would like to refer yourself without going through a GP, social worker or other professional, please complete the following information and someone from North Westminster Drug and Alcohol Service (NWDAS) will be in touch.

IMPORTANT - This form is only applicable to North Westminster residents.

Name *

Date of birth *

/ /

Gender *

Male
Female

Address *

Postcode *

Telephone number (mobile/home)

Preferred method of contact *

Email
Letter
Telephone

Other information
Please tell us in your own words, what help do you think you need?

* Denotes required field.