NHS Lanarkshire Referral - The Talking Rooms - Counselling & Psychotherapy in Glasgow

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A Service for NHS Lanarkshire Staff

This online self-referral service is provided to NHS Lanarkshire staff.

We also offer a service for private individuals who wish to self-refer to speak to one of our team.

IT Issues with Some NHS Computers

If you cannot get to the next page, it may be due to an ongoing issue that is currently with NHSL and the IT department. Please drop an email to nicola@thetalkingrooms.com or call 0141 459 0011 and we will complete a referral for you.

Are you a current employee of NHS Lanarkshire?*

Private Individual Referral

Unfortunately, this service is for NHS Lanarkshire staff only.

Please use our private individual referral service to access support.

Private Individual Referrals

Referral Type*

Please fill in all fields with the referred's details - you will have an opportunity to fill in your details before submitting.

Name*

Phone*

Email*

How Do You Identify?*

Date of Brith*

Address*

Street Address Address Line 2 City Post Code

Your GP

GP Name or Name of Surgery*

GP Phone Number

Surgery Address

Street Address Address Line 2 City Post Code

Your Emergency Contact

Emergency Contact Name*

Emergency Contact Phone*

Your Relationship to the Emergency Contact*

Which area are you from?*

Which Directorate-HSCP are you from?*

Which job family to you belong to?*

What is the Reason for Your Referral?*

Do you have a medical or mental health diagnosis that you are aware of?*

Do you consider yourself to be at risk of harm to self or to others at this time?*

Are you currently considering suicide?*

Have you made a plan to end your life?*

For urgent mental health support please contact your local GP or NHS 24 on 111.

Or contact one of the following crisis services:

Samaritans: 116 123
Breathing Space: 0800 83 85 87
Scottish Women's Aid: 0800 027 1234
Rape Crisis: 08088 01 03 02

Are you considering or engaging in self harm?*

Are you currently receiving treatment or support from another service?*

Are there any barriers that would stop you from accessing weekly treatment?*

Are you currently attending work?*

What is your relationship to the referred?*

Referrer Name*

Referrer Phone*

Referrer Email*

Is there anything you would like to add?

How did you hear about The Talking Rooms?

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