Please use this form to refer yourself or a client to Bethlehem House

Process: please fill in this form as far as you are able or get someone to help you fill it in.

A Support worker from Bethlehem House will be in touch to talk to you about our service. If we can offer you accommodation and support and you agree, we will arrange to show you around our service and bring you in. Sometimes there can be a short waiting time for a bedroom to become available, but we will contact you to talk about it.

It’s important for you to know that you can expect to pay a contribution for your bed and board and that we can help you with a whole range of issues and can help you move back out into affordable housing.