Mental Health Support Referral Form

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Mental Health Support Referral Form

Please fill out the form as fully as you are able in order to access mental health support services at St Peter's. Please include as much detail as possible in order for the mental health team to make an initial assessment and avoid delays.

Information submitted in this form is confidential and will not be shared beyond the mental health team. However in cases where there is a safeguarding concern or where there is a risk of harm to self or others, confidentiality may be broken. If you are in doubt, please come to the Wellbeing Hub to discuss further, or contact any of the team.

*Please note: if you are in need of immediate support or are at risk, then please do not proceed with this form but contact 111 to discuss your concerns. In an emergency please call 999*

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