Self referral and online forms

Self referral and online forms

Most referrals to other healthcare specialists will require you seeing or speaking with a GP, however, there are a number of services locally within our area, that you can self-referral to.  Each service will review your referral and will undertake a clinical assessment based on the information you have provided.  This self-referral service should only be used for new referrals and patients should not use the forms if they are already under the care of one of these services.  If you want to self refer to one of these services please download the relevant form below and email to the relevant department or service.

Anxiety

Please download the self-referral form and email to Anxiety@nhs.uk

Carers

Please download the self-referral form and email to carers@nhs.uk

Depression

Please download the self-referral form and email to Depression@nhs.uk

Drugs and Alcohol

Please download the self-referral form and email to DrugsandAlcohol@nhs.uk

Exercise

Please download the self-referral form and email to Exercise@nhs.uk

Maternity

Please download the self-referral form and email to Maternity@nhs.uk

Podiatry

Please download the self-referral form and email to Podiatry@nhs.uk

Sexual Health

Please download the self-referral form and email to SexualHealth@nhs.uk

Young Carers

Please download the self-referral form and email to YoungCarers@nhs.uk

Weight Management

Please download the self-referral form and email to WeightManagement@nhs.uk

Smoking Cessation

Please download the self-referral form and email to SmokingCessation@nhs.uk