If you or someone you know has experienced unexpected or concerning effects from drugs, we want you to tell us. This will help keep others safe. 

Please provide as much information as you can, it will be kept confidential and won't be shared with anyone else. You also don’t need to give us any personal information if you don't want to.

You can find out more about how we use this information by checking our Privacy Policy

Please do not use this form if you need immediate help - we can't guarantee a quick response. If you need support or immediate advice, please call the Alcohol Drug Helpline on 0800 787 797 or text 8681, 24 hours a day, 7 days a week. You'll speak with a trained counsellor, and all calls are free and confidential. If you're experiencing an emergency, please call 111 immediately.

Attach a photo of what the drug looks like (if available).
If this relates to an alert/notification we published, please enter the alert ID mentioned in the alert/notification.