Fill in this referral form and a friendly member of our team will get in touch with you within 2 working days to let you know the referral has been processed.
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.
Are you referring yourself, or are you a professional referring somebody else?*
Are you registered with a GP Practice in Newcastle Upon Tyne*
Unfortunately the Community Mental Health Support Service only works with people who are registered with a GP in Newcastle. We are very sorry for any inconvenience caused.
If you need urgent support, you can contact the following services: Newcastle & Gateshead Crisis Team - 0800 652 2863 Shout Crisis Text Line - text 'EVERYTURN' to 85258 Additional advice on where to access urgent mental health support can also be found on the NHS website Where to get urgent help for mental health - NHS (www.nhs.uk )
Service users should be registered with a GP Practice in Newcastle to access this service. Please provide details of the Practice below. If the GP Practice is not known, please specify;*
Referrer Details
Service User Details
Date of Birth: *
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Unfortunately, we cannot accept referrals for clients who have not given consent for the referral to be made on their behalf. Please seek consent before making a referral.
Why are you referring the service user to the Community Mental Health Support Service?
We're not able to accept referrals without consent where the service user retains capacity to make informed decisions about their mental health care and treatment.
We're very sorry for any inconvenience caused. If you would like to discuss this referral further please contact us:
Email us at referrals.everyturn@nhs.net
Call us on 0191 414 8374
Your Details
(On the test sites we output placeholder values to speed up testing, feel free to change during your own testing)
Date of Birth: *
DD
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MM
1
2
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YYYY
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Why are you referring yourself to the Community Mental Health Support Service?