Self Referral Form
To access our support click here to go to our Referral Form
If you’ve been affected by rape, sexual assault or childhood sexual abuse, you can reach us in the way that feels safest for you. All contact is confidential, and you do not need to have reported to the police to speak with us.
Get Support:
Self‑Referral Form (confidential)
If you’d like to contact us directly about a sexual assault, complete our confidential self‑referral form below, you'll be securely redirected to our DPMS cloud system.
Or, if you'd prefer, you can speak with our team about your options following rape or any form of sexual violence, whether it happened recently or many years ago. We’re here to help.
Helpline hours:
24/7 Support (Rape Crisis England & Wales)
If you need support outside NRC's opening hours, the Rape Crisis England & Wales 24/7 Support Line is available day and night.
This service is for anyone aged 16+ affected by rape, child sexual abuse, sexual harassment or any other form of sexual violence.
You can talk about as much or as little as you want and end the chat whenever you choose.
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Professionals:
Professionals can contact us via:
We welcome referrals from police, social care, health, education, voluntary organisations and community partners.
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We are committed to providing safe, high‑quality support.
If you would like to give feedback, positive or negative, or make a complaint about any part of our service, you can do so confidentially.
We are committed to high standards in fundraising. If you are unhappy with any aspect of our fundraising activity, please contact us at: email us *
Your complaint will be acknowledged within 5 working days of receipt and you will be sent a copy of our Fundraising Complaints Policy along with full details of our of full complaints procedure.








