Contact Form

The contact form below is for enquiries from local residents and families. If you are a professional and would like to refer, use the referral form.

Your Name (Required)

Phone Number (Required)

Email (Optional)

Which borough do you live in? (Required) Redbridge Barking & Dagenham Havering

Are you over 50 or 55? (Required) Yes No

My enquiry is about Volunteering Your services Advice Donations Other

Please write your message here (maximum 1500 characters)

If your enquiry is about advice or information, we recommend that you supply your date of birth and address, below:

Date of Birth: DD/MM/YYYY (Optional)

Address (Optional)

How did you hear about us? Google/online search Social Media Age UK RBH staff or volunteer Health or social care professional Relative/friend/neighbour Poster/leaflet Other

Privacy: We will only use your email address (or telephone number) to contact you about your specific enquiry. For further details on how your data is used and stored, please see our privacy policy.

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Getting in touch (Residents and Families)