Croydon Self Referral Form

Personal Details

GP Details

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.