Get Help Form

Referral Form
Referrers details:
Please use format Day/Month/Year eg. 01121982
Telephone number
please specify:

For more information Click here NHS DAISy Information.

You can contact us by telephone on 0141 553 1800 or email us

Alternatively you can fill in the form below if you wish us to contact you. We will be in touch as soon as possible.


Thank you for taking the time to complete the referral form. If you are having any difficulties in filling out this form please contact us by telephone on 0141 353 1800.

Glasgow Council on Alcohol (GCA)
14 North Claremont Street
G3 7LB

Tel: 0141 353 1800