Please use this form to refer yourself. We accept referrals from anyone over the age of 16 who is registered at a GP in the County Durham and Darlington area. Please note, registering with our service implies permission to communicate with your registered GP; if you would prefer us not to do this please contact us to make a referral via phone on 0191 333 3300 or, alternatively, submit the form below but then contact us using the ‘contact form’ on our ‘contact us’ page on our website to inform us of your preference not to have information shared with your GP.