Please make a referral using our online form

If you are a refugee or asylum seeker and need help please phone the office on 01642 213634


If you are a referral agency please fill in the form below. 

Please note that all mandatory fields must be completed in order for the referral to be sent. 

About the Client:

Client's Details

Please provide us with the following details to assist us with identifying the client.

Client's Address

Where does the client currently reside?


Please provide all relevant information regarding the client's circumstances which lead to this referral.


Please check that the client consents to Open Door North East processing their information.

About the Referrer:

Your details.

Please provide your details, the details of the individual submitting the referral.