Self Referral Pathway
Are you looking to refer yourself for therapy? Please fill out the form below to refer yourself for our 1-2-1 free* therapy pilot programme.
1-2-1 Free* Therapy Pilot Programme
Making a Self Referral
This referral form is only for those who are looking to self refer for The Mental Health Hub’s 1-2-1 Free* Therapy Pilot Programme.
The form below is designed to find the answers we need at this stage in order to find and curate the best support for you and in order to match you with the right treatment and therapist.
If for any reason you feel triggered in the process of self referral please do pause and take a mental health break and come back to it.
If you have accessibility requirements and need help filling out the self referral form, or if you have questions generally about the self referral process, please get in touch with The Mental Health Hub Team any time via our contact page and we’ll be more than happy to answer any questions you have. If you are a professional or academic interested in learning more about our pilot programme, or if you would like to be involved in the project, please get in touch with us directly. In order to book for other services or to register for other events at The Mental Health Hub, please click here.
1-2-1 Free* Therapy Pilot Programme
Self Referral Form
For emergency support: If you need urgent or emergency support, are worried about your mental health and wellbeing, going through a crisis or think you might be at risk of harming yourself or someone else - please DO NOT contact us or put in a self referral in the first instance, but contact one of the options below. This also includes if you are signed up for the pilot programme and in between sessions or if this is outside of session hours or Opening Hours.
Contact your GP or the GP out-of-hours service.
Reach out to the Samaritans at 116 123 or text 'SHOUT' to 85258.
In case of immediate danger, visit your local Accident and Emergency or dial 999