Make a referral

Make a referral

    Area

    Choose an area you wish to be referred to (Please only select the area you live as different services run in different localities):

    What support are you looking for

    Referral to: (Please tick service you wish to refer in to)

    Referral to: (Please tick service you wish to refer in to)

    Please note if you would like to refer in to our Housing Service you will need to call 01482 240200. Please note a professional is required to make this referral.

    Please note if you would like to refer for Counselling, please call NHS Hull Talking Therapies Service on 01482 247111 or NHS East Riding Talking Therapies Service on 01482 335451.

    If you are unsure about which service to refer in to, or would like more information please call our Information line on 01482 240133 or email [email protected].

    Referrer details

    Has the client given permission for this referral to be made?

    We are unable to accept referrals without the client’s consent.

    Personal details

    Do you/the client have any mental health issues

    Do you/the client have any physical health issues

    Do you/ does the client have any alcohol or drug related problems?

    Do you/the client require bereavement support?

    Are you/the client accessing or currently being supported by any other agencies eg GP, CMHT, Employment Support Agency?

    As an equal opportunities organisation we would like to ensure that we meet your needs; do you have any specific requirements which would assist us to do this?

    Safeguarding / risk

    Do you harm yourself or have you done so in the past?

    Have you harmed or caused injury to others?

    Do you have thoughts of harming yourself or others?

    Do you have any anger management issues?

    Are you a veteran of the armed forces?

    How would you like us to keep in touch with you/the client?


    Do Hull & East Yorkshire Mind have permission to leave a voice message/ send a text message?