I am engaged with a charity or not-for-profit service and have a caseworker

Please add your caseworker details below and the ADA DHF will be in contact with them as we do not accept self-referrals.

Service I am engaged with *

Name *

Caseworker email *

Caseworker name *

Caseworker phone number *

I have read, understood, and agree to the collection of my personal information in accordance with, the privacy policy.