Lambeth Self Referral Form

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To refer yourself to our service simply fill in the form below to give us your details, please note we can only accept referrals from people registered with a Lambeth GP surgery. Once you’ve completed and submitted the form, call us on 020 3228 6747 between 9am – 5pm Monday to Friday to arrange your first assessment appointment.

Personal Details

GP Details

Further Information

We offer help for anxiety and depression using our online ‘Silvercloud’ programme. This is a series of 6-8 weekly modules that you work through with support from one of our clinicians. We can offer quick access to this and it’s effective and flexible, as you can complete your sessions at any time, day or night
You can find out more information in the 'Treatment types' section of our website.
Once you’ve submitted the form, please allow at least twenty minutes for your form to be processed then simply call us on 020 3228 6747 between 9am – 5pm Monday to Friday to arrange your first assessment appointment.