Self Referral Form

Sheffield IAPT Self Referral Form

* this information is required
We will send you some questionnaires to compete about your mood before your initial appointment. If you do not wish to receive these by email please contact us to let us know.
Emails from our service may go straight in to your junk mail or spam folder. The email address our questionnaires comes from is: '' please can you add this email address to your safe list and check your junk/spam folder for any confirmation emails from us.
If relevant, are you:

How we can help you

We have a range of online courses to improve how you feel. We recommend accessing one of courses before 1:1 sessions. Please select which course you would like to attend. All dates of upcoming courses can be found on our website.
If you selected a telephone assessment, the purpose of that assessment will be to clearly understand how you are feeling and help to advise you on the range of treatment options available to help you. A member of our team will contact you to book this for you soon as possible.

How we store your information

This service keeps the information that you share on a dedicated computer system to ensure it is stored safely and securely under the Data Protection Act 2003. This is only accessed and used by the IAPT team to plan and monitor your treatment. We may also want to share information with other professionals who need to be involved in your care to ensure that you receive the correct treatment at the right time and we will ask your permission to do this.
On occasions we may need to share information with other professionals without your permission if we are concerned about your safety, the safety of another person, or you inform us that you have/or are about to, commit a serious crime. Should this be the case we will always try to discuss this with you first and involve you in the process. For more information please read our information storing leaflet on our website.