Croydon Self Referral Form

Personal Details

GP Details

The next step is we will call you for a telephone assessment, which will take about 20-30 minutes, to find out more about your difficulties and what help we can offer.
We will text you a time for this phone call. This will usually be within the next 24-48 hours, and Monday - Friday, between 9.15 and 3.30pm.
Please specify below what days and times you are available for this call in the next 24-48 hours (or suggest other days if more convenient) e.g. Tuesday 10-11, Friday 9-3.30pm, or 'Monday' or 'anytime'. Please offer as many times as you can.
(If you would prefer to call us to arrange this, please call us on 0203 228 4040).
We will then text you an appointment time within one working day. Please check your phone daily.
Are you in crisis? Croydon IAPT does not offer a crisis service. If you feel at risk of hurting yourself or someone else, please contact your GP's out of hours service, the SLAM 24 hour information line on 0800 731 2864, or present to your local A&E at Croydon University Hospital, all of which are there to help.