Self Referral Form

If you are 17+ and registered with a Surrey GP, complete our self-referral form below to access online CBT via SilverCloud.
If you have already completed a referral form for 1-2-1 support with DHC Talking Therapies, then please do not complete another form. Contact us directly on 01483 906392 or if you have any questions about your referral.
(Please note: If you select No, but in the future we are concerned about your safety, someone else’s safety or if you were involved in a serious crime, we would be required to update your GP and the relevant services)