Self-referring means you don't have to see your GP to get help. But we will let them know you've been in touch - just to keep them posted on your progress.
There are just a few simple steps for you to take before we can help you start your journey to well being.
To self-refer, click on one of the blue boxes below. This will allow you to submit our web referral form or to call us directly.
Alternatively, you can print the form below and send it in the post to us.
Once we've received your details and your form, one of our Psychological Wellbeing Practitioners (PWP) will call you for an initial telephone assessment within three working days.
The assessment should take no longer than 30-45 minutes and once you've talked to you PWP, we'll create your tailor made treatment plan.
Alternatively, we can arrange a face-to-face appointment if that is your preference. This can be especially useful if you require an interpreter to translate for you during the appointment.
If you live in Totton, the New Forest or Eastleigh then please contact the iTalk Service on 023 8038 3920.
If you are feeling very distressed, despairing or suicidal and need immediate help please contact your GP and request an emergency appointment, contact the Samaritans on 116 123, or go to your nearest Accident and Emergency Department.
If your GP surgery is not open, you can contact the NHS Out of Hours Medical Service on 111. NHS 111 is available 24 hours a day, 365 days a year. Calls are free from landlines and mobile phones. You should use the NHS 111 service if you urgently need medical help or advice but it's not a life-threatening situation. If you feel at harm to yourself or from other – go straight to your nearest Accident and Emergency.
If you are concerned that someone else is very distressed and might be considering suicide please encourage them to contact their GP and make an emergency appointment. Alternatively you might wish to encourage them to speak to the Samaritans on 116 123.
If you are concerned that someone is about to act on thoughts of hurting themselves you might wish help them attend the nearest Accident and Emergency Department. Alternatively, you may choose to contact the Police on 999.
Similarly, if you become concerned that someone is at risk of hurting somebody else
If you feel you need to talk to someone in confidence, the Samaritans are available 24 hours a day, 7 days a week on:
Tel: 116 123
(TEXT MESSAGE ONLY number available on 07725 909090)
There are also local Samaritans branches across Hampshire and Dorset.