Make a referral

This form is to refer yourself or someone else to OSARCC’s face-to-face services, including our services for adults and for young people aged 14-18.

Please complete this form with as much information as possible. If there is a question you feel uncomfortable answering here and would prefer to discuss in person, feel free to leave it blank.

If you need support to complete this form, please contact us on 01865 725311.

Your information will be kept safe and treated with care and respect. Information will be shared where there is a legal obligation of safeguarding concern/risk. Your personal information will not be shared with anyone outside of OSARCC without your explicit consent in line with the principles of the Data Protection Act 1998. For more information about how we collect information and what we use it for, please view our Privacy Policy.

The Young People services are confidential and the information provided by survivors is confidential unless we believe any child or young person under the age of 18 years old is in danger or at risk of significant harm.

We would recommend that survivors who require support refer themselves directly. However, if they are not able to do this, professionals and supporters can also make a referral via this form. You must have the consent of the survivor to make a referral to any of our services on their behalf. Please do not refer anyone unless they have given their explicit consent.

Please note that we’re not a SARC (Sexual Assault Referral Centre) and we do not perform forensic medical examinations. If you are in Oxfordshire, the closest SARCs are in Bicester, Slough and Swindon:

Bicester and Slough SARCs
Phone: 0300 130 3036

Swindon SARC
Phone: 01793 781916

If you are outside Oxfordshire, you can find your nearest SARC here:


Make a self referral
to Advocacy service only
Make a 3rd party referral
to Advocacy service only

Our waiting list for therapeutic services is currently closed. This means we will be unable to accept new referrals to our therapeutic services (adult & young people counselling, support groups, psychoeducation and drop-in groups). We will update our social media/website as soon as we are open for referrals again (Facebook: OSARCC, Twitter: @OSARCC, Instagram: @oxfordshirerapecrisis). Click here for more information.

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