Tel. 0141 353 1800

Facebook Twitter Instagram

GETTING STARTED

Please enable JavaScript in your browser to complete this form.

Please note this service is only open to people in recovery from drugs and/or alcohol.

For support completing the referral form, call 0141 353 1800 and ask to speak with a member of the Elevate team

To begin your Elevate journey we require some personal information so we can get in touch with future participants and see what we can do to support their personal and professional goals.

Some important information before you start. Please read our Code of Conduct & Data Protection

Name
Email
Gender
How did you hear about Elevate?
What are your reasons for seeking support (Please tick all areas you feel may apply to you) (potential obstacles/previous experience)
Are there any area you would like advice and guidance?
Disability – do you consider yourself to have?
Note: The disability categories used are broadly based on the definition of a disabled person in the Equality Act 2010, i.e. someone who has a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day activities.
Best time to call
Elevate's Code of Conduct & Data Protection. I have read and understood the above information and I confirm that;