To find out how you can take part, fill out this form and we’ll get in touch Babies don’t come with instructions Parents Under Pressure™ study Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Please hand this form back to your treatment or support worker Details of person making the referral Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL Parents Under Pressure™ study Babies don’t come with instructions Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Please hand this form back to your treatment or support worker To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. Details of person making the referral NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL Parents Under Pressure™ study Babies don’t come with instructions Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Please hand this form back to your treatment or support worker To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. Details of person making the referral NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL Babies don’t come with instructions Babies don’t come with instructions To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. Parents Under Pressure™ study Parents Under Pressure™ study Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Signature Please hand this form back to your treatment or support worker Please hand this form back to your treatment or support worker Details of person making the referral Details of person making the referral NameAgency Job title Contact address PostcodeTelephone number Email address NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL To find out how you can take part, fill out this form and we’ll get in touch Babies don’t come with instructions Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. To find out how you can take part, fill out this form and we’ll get in touch Babies don’t come with instructions Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. Parents Under Pressure™ study Parents Under Pressure™ study Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Signature Please hand this form back to your treatment or support worker Please hand this form back to your treatment or support worker Details of person making the referral Details of person making the referral NameAgency Job title Contact address PostcodeTelephone number Email address NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL Babies don’t come with instructions Babies don’t come with instructions To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. To find out how you can take part, fill out this form and we’ll get in touch Tell us how we can best support families like yours If you are a parent on a drug or alcohol programme and you are the main carer of a child under two and a half, you can take part in the Parents Under Pressure™ study. Researchers at Warwick Medical School would like to find out how Parents Under Pressure™ – a new service – compares with the support already available to families like yours. NSPCC registered charity numbers 216401 and SC037717. Photography by Jon Challicom, posed by models. 0851/12. Parents Under Pressure™ study Parents Under Pressure™ study Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text Name Date Address Postcode Telephone - landline mobile How would you like us to contact you? Please tick: LandlineEmail Mobile phoneOther (specify) Text I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study I give my permission for researchers at Warwick University to contact me about the Parents Under Pressure™ study Signature Signature Please hand this form back to your treatment or support worker Please hand this form back to your treatment or support worker Details of person making the referral Details of person making the referral NameAgency Job title Contact address PostcodeTelephone number Email address NameAgency Job title Contact address PostcodeTelephone number Email address I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) I have informed the carer with parental responsibility about this referral. Yes / no (please give reason) SignedDate SignedDate For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL For more information about this form or the study, contact Sukhdev Sembi at Warwick Medical School on 02476 150 508 or 07824 541 002 email: sukhdev.sembi@warwick.ac.uk Parents Under Pressure™ Study Warwick Medical School The University of Warwick Coventry CV4 7AL