Self Refer

Fill in this referral form and a friendly member of our team will get in touch with you within 2 working days, to arrange your first appointment.

We are not a crisis service. If you feel at risk of harming yourself, or can’t keep yourself safe, please visit our ‘Get urgent help’ page for emergency contacts.





Your Self Refer form has been successfully completed and submitted.

Someone will be in touch in the next 2 working days.