Online Health Professional Referral Form

This form can be used by health professionals to refer patients who are:
- registered with a Lambeth GP or GP at Hand, or
- Health and Social care professionals (registered with any GP).
Please advise the patient that we will contact them directly once we have processed the form, and that their first appointment will be in normal working hours.
If you are referring from another mental health service, please email the screening team at LIAPTScreeningteam@slam.nhs.uk to discuss your referral before submitting. This email address is for health professionals only and should not be given to members of the public.

Patient Details

GP Details

We will not be able to accept or process your referral if the service user is not registered with a Lambeth GP. (We do accept referrals for Health and Social care workers who are not registered with a Lambeth GP)

Demographic Information

Referral Information - Risk

We cannot monitor risk until the client is seen, so please monitor until then. If there is active risk please refer to SPA team or A&E.

Referral Information - Mental Health

Referral Information - Access

Referrer Details