Online Health Professional Referral Form

This form can be used by health professionals to refer patients who are:
- Registered with a Lambeth GP or
- Live in the borough of Lambeth
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 would like to discuss a potential referral please email This email address is for health professionals only and should not be given to members of the public.

Patient Details

GP Details

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