Babies don’t come with instructions Parents Under Pressure study

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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
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