RPOAS Welfare / Wellbeing Referral

Any RPOAS member can refer her/himself or s/he can be referred by another person. The easiest & most immediate referral method is to complete & submit the online form below. When we receive the form, Tracy McKenzie, our RPOAS designated Single Point of Contact (SPOC) for our Transition & Wellbeing Project, will arrange for a Signposter from the Project Team to get in touch with the referrer to discuss the matter further.

If you need a paper version of the referral form – click or scan the QR code to download a pdf for printing. Once completed, please send the pdf – as an email attachment – to Tracy by clicking the envelope below. If it cannot be emailed, please contact Tracy (click on the envelope) to discuss alternative delivery options.

Be assured all contacts are dealt with in the strictest confidence

To immediately submit an online referral form, simply complete all of the fields below and click the SUBMIT button.

RPOAS WELFAREWELLBEING
REFERRAL FORM

We can only accept a referral if the person knows that they are being referred. If a person asks who referred them, we will disclose that information.


    I am referring myselfI am referring someone else
    (this other person knows that I am making this referral)


    DETAILS OF THE PERSON BEING REFERRED


    DETAILS OF THE PERSON SUBMITTING THE REFERRAL
    (not required if you are referring yourself)

    Veteran (Retired Officer)Partner/Spouse of a VeteranChild of a VeteranParent of a VeteranPOA for a VeteranOther (explain below)


    Please select the date of submission below

    CONFIDENTIAL