Existing Programme Request Form (RKPC)
If you wish to be considered for inclusion in the existing treatment programme please complete the on-line form below.
(Please see our About Us pages for links to our Data Protection & Privacy Policy, Transparency and Published Information, and other WRS policies.)
* when you click on Submit, there is a slight delay while the form is registered, and then you will get a green tickbox screen which confirms you have successfully submitted the form.