Thames Reach
Friday 21 November 2008
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Rough sleeper referral form

Complete the form below to tell London Street Rescue about someone sleeping rough. 

We will either act on the information provided ourselves, or pass it to the appropriate outreach team.

Alternatively, you can call us on 0870 383 3333, email streetrescue@thamesreach.org.uk, or send us a fax on 020 7702 5674. Calls are confidential.

London Street Rescue aims to visit people referred to the service within 24 hours. Please provide as much detail as possible about the individual to help us make contact with them. We will give you feedback about our progress with this person.

To check an exact street location, go to http://www.streetmap.co.uk/.

» Indicates required fields

Refer a rough sleeper (provide as much information as you can)
Description of person sleeping rough
gender

Sleeping site
Have you checked this street name is correct? use the street map link at top of the form to check exact location
Additional Information
Possible support needs




Caller/referrer's contact details
EMERGENCY SERVICES ONLY: How would you rate the vulnerability of the patient?