Surrey registration and booking form
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 (out of hours) on 0800 915 4644
- call Samaritans free on 116 123 or email
We Are With You takes your privacy seriously. We'll use the information provided in this form to start a record of your journey with us. *
If you would like more information about how we look after your information our privacy notice is at

We use a third party provider, Calendly, to book your appointment. The information they see is restricted to your name and contact information. Further information on their security and privacy can be found here -
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