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Referrals

Online Referral Forms

On this page are links to complete our referral forms online. Or alternatively, if you prefer you can also download and print a PDF copy to email to us.

If you are a referrer to the service and require further information please ring 0161 351 6000.

If you are a local resident interested in attending please speak to you G.P, Health Practitioner or Job Centre coach to organise a referral on your behalf.

If you require any further information about referrals, please contact us.

Primary Care
This referral form is for use of services which are not part of the specialist mental health trust.

For example; G.P, Job Centre, Primary Care Psychology and Counselling Services, Health Improvement Service or Six Degrees etc.

Please note that people need to be a Salford resident or registered with a salford GP to be eligible for the service.

Complete and submit form online

Online Form

Download form to print

Download Form
Secondary Care
This referral form is to be used for people under the care of a specialist mental health service.

For example; Home Based Treatment Team, Community Mental Health Teams, Early Intervention, Psychology Services, Meadowbrook or CERT etc. An up to date risk assessment will usually be required in addition to the referral form.

Please note that people need to be a Salford resident or registered with a salford GP to be eligible for the service.

Complete and submit form online

Online Form

Download form to print

Download Form
STARTwork
This referral form is for the STARTwork project.

To find out more about this project take a look at our STARTwork project page.

Complete and submit form online

Online Form

Download form to print

Download Form