Professional Referral Form

Please note that unless you are NHS or social care staff, we can only accept referrals from people aged 16 or over who are registered with a Barnet or Enfield GP surgery.
We are unable to accept referrals if you have a primary alcohol or drug misuse problem, or if you are already being seen by other secondary care or specialist mental health services.
We are also unable to offer immediate crisis support.

Referrer Information

Client Information

If you do not have client's email id please write 'not available'.

Reason for Referral

Current Risks

Please note: We will not accept referrals of individuals who are at high risk and who require urgent help.