Request for Support

Whether you would like more information about us or are wondering if we can be helpful to you, a family member, a colleague or a friend, drop us a line and one of our friendly Le Va team members will be in touch.

We are not a front line service.

Need to talk? Freetext or call 1737 to connect with a trained mental health professional.

Name*
Email*
Organisation & Position*
Type of organisation*
What support/services would you like from Le Va?*
- Addiction
- Cultural competency training
- Disability
- Mental health
- Public health
- Scholarships
- Sexual violence prevention
- Suicide prevention
- Youth programmes
- Other
How would you like us to deliver this support?*
When would you like this support/service to take place?
DD slash MM slash YYYY
Help us plan better. How many people is this request for?*
What is their age range?*
What is their ethnicity?*
Where will this service be delivered?*
City, and if relevant, venue and other resources required.
Additional information
Is there anything else we need to know, such as the presence of media?