Kent registration and booking form
To make a referral to With You Talking Therapies please complete our new referral form.  

Or contact us at enquiries@wearewithyou.org.uk or on 0300 012 0012.  

Please note that We Are With You does not provide this service in the Medway area.
Sign in to Google to save your progress. Learn more
Please be aware that We Are With You does not provide a crisis service.  If you need urgent help, you can:
- call your GP and ask for an emergency appointment
- call NHS 111
- contact your mental health crisis team on 0300 222 0123 (this is a 24hr service available 7 days a week)
- call Samaritans free on 116 123 or email jo@samaritans.org 
Submit
Clear form
This form was created inside of We Are With You.

Does this form look suspicious? Report

Google Forms