Begin the Journey to Wellbeing

Struggling can feel isolating, but you’re not alone. Support is available Monday to Friday, 9am to 6pm. We’re here to help you take the next step with care and understanding.

Urgent Support

We’re not an emergency service, so if you’re in crisis or need urgent help, please stay calm and call 111 or visit your nearest A&E.

Samaritans: Call 116 123 if you need to talk now.

Crisis: Text SHOUT to 85258 if you prefer to text.

NHS A&E Service: Find the nearest Accident & Emergency services here.

NHS 111: Call 111 for a mental health crisis and select Option 2. You can also click here.

The Referral Process

1. Fill in the referral form

2. We will contact you to understand your needs

3. Assessment Process

4. We will talk though pathways

All information submitted through this form will be treated as strictly confidential. We handle all data in full compliance with GDPR, ensuring the highest standards of privacy and security.

Referrer's Personal Details

Forename(required)

Surname(required)

Past & Current Involvement with referred person (required)

Relationship to the person(required)

Does the person know they are being referred?(required)

Email Address(required)

Phone Number(required)

Address(required)

Personal Information of person being referred

Forename(required)

Surname

Date of birth

Pronouns

Email Address(required)

Address

Postcode

City

First Language

Ethnicity

Preferred contact method

Phone (Text / WhatsApp)

Name of GP

GP Contact Details

Programmes

Which programme would you like to refer this person to? (Please select all that apply)

"You Are Not Alone (YANA)"

"For Ages 19-35"

"Braver Together"

"For Ages 19-35"

"Life Beyond HIV"

"For Ages 19-35"

"Adoption & Special Guardianship"

"For Ages 19-35"

How did you hear about Body & Soul?

If you choose other, please specify

Reason for referral (required)

Please provide any relevant information about your current circumstances, including physical or mental health diagnoses and a history of self-harm or suicide attempts.

"Courage does not always roar. Sometimes courage is the quiet voice at the end of the day saying, ‘I will try again tomorrow.’"

Mary Anne Radmacher,

Writer

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