NEED URGENT HELP? | CALL: 116 123 | www.samaritans.org Downloads Page Swindon Self-Referral Form Click to download! Gloucestershire Referral Form Click to download! Gloucestershire Risk Assessment Click to download! Training Brochure Click to download! Full Name* First Name Surname Email Address* Phone NumberWrite your message here...GDPR Compliance* By ticking this box, I agree to allow Swindon & Gloucester Mind to contact me regarding my enquiry only, using the information I have input into this form. EmailThis field is for validation purposes and should be left unchanged.