Reach Out for Support

Fill in the form below and someone from Reset and Recover will get back to you. If you are in immediate danger, please contact emergency services on 999 or the National Domestic Abuse Helpline on 0808 2000 247.

If you're here, something matters.

You don't need the right words, and you don't have to do this alone. We support people in Halton affected by addiction - their own, or someone else's.

The people you'll speak to have been there themselves. Whatever you tell us stays completely confidential.

About you

First name

Last name

How can we reach you?

Tick all that work for you.

How is it best to contact you?

Phone

Text (SMS)

Phone number

Your situation

Share as much or as little as you feel comfortable with.

Briefly describe your situation

Spending (optional)

These help us understand the support you need - leave any blank you don't want to share.

How much do you spend on drugs in a typical month? (£)

How much do you spend on alcohol in a typical month? (£)

How much do you spend on gambling in a typical month? (£)

Safety check

Your safety matters.

Is it safe for us to contact you?

Yes - it's safe to contact me

No - please tell me how/when it's safest

Safe contact instructions

Emergency contact

Some description about this section

Emergency contact name

Emergency contact phone

Consent

I understand and consent to being contacted by Reset and Recover Halton CIC for support purposes. I have read the privacy notice.

Important: this form is not monitored continuously. If you are in immediate danger or require urgent help, please contact emergency services (999), or Samaritans on 116 123.

How did you find us? (optional)

This helps us know what's working.

How did you first find us?

As you've selected 'Other', how did you hear about us?

Was it an advert you saw about us, or something you searched for?

I saw an advert

Something I searched for

What did you search for to find our services?