This self-referral form should take 10-20 minutes to complete. Please fill in as much detail as you can, as this will enable us to quickly process your request.
If you have questions or need help with this form, please call 020 8548 5550 (Monday – Thursday 8:15 am to 8:00 pm, Friday 8:15 am to 6:00 pm).
We take confidentiality very seriously. In order to protect your privacy, if you ask us to contact you by phone, we will call from a withheld number between 8am and 8pm Monday to Friday. Please make every effort to respond to withheld numbers during those times after you have referred yourself. If it’s not a convenient time; just ask us to call back later. For similar reasons we don’t leave voice messages until we have your permission to do so.
If you are currently under the care of a community mental health team (CMHT) you should discuss your needs with them. This is to help with the continuity and consistency of the care you receive. We will not be able to provide treatment to clients currently receiving therapy from a CMHT.
We regret that we are only allowed to accept clients who are registered with a GP who is part of the Richmond CCG. If you are not sure about this, it might be worth contacting your GP practice or giving us a call to confirm your eligibility.