Referrals

Referral details.
Your details.
Your details.
Are you currently receiving any mental health support or treatment? *
Have you previously received mental health support or treatment?*
Are you currently experiencing suicidal thoughts?*
Are you currently engaging in self-harm? *
Are you currently using any substances (e.g., alcohol, drugs)? *

We will only contact you in relation to the latest news & updates that we think will be of interest to you. We will not disclose your information to any third part and you can unsubscribe from our database at any time.

If you would like to discuss a referral or need further support, please contact us on 07483 186351 during the Crisis Harbour opening hours.

Please note, this is not a crisis line.