Mental Health Professional Referral

Please note the following: This form needs to be completed from the perspective of the patient/client with as much information as possible to enable the referral to be processed and triaged quickly. If this is for a carer please complete the separate carers referral.

If the person you are referring is homeless or not in settled accommodation and this is their primary need you will need to contact the relevant housing department of the district and borough council. This form is only for Adult Social Care referrals.