reception@gywmind.org.uk     01493 842 129

Referral Forms

Please click a link below for referral forms 

The YPIM team support young people aged between 14-25 who are struggling with their emotional health and wellbeing.

Within in the YPIM team is the Transition Service, which is for young people aged 17-25 discharged from community mental health services: to support an individual in his/her next step to access services and information including education, getting ready to volunteer/work, access to wellbeing workshops, housing & benefit support and physical and group activities.

The ACS team provides mental health support to adults from the age of 25+. 

The ACS service also incorporates Carers' Support and Black Minority Ethnic (BME) groups. Our objective is to enable people living with mental ill health to achieve their individual potential by developing self confidence, self-esteem and self-determination leading to improved general and mental health and wellbeing and connecting with the individual's community.

Please note there are two versions of each form, one is in Microsoft Word, which can be downloaded, electronically filled out and emailed back to us. The second version is in a format that can be printed out, filled in by hand then posted back to us. You only need to complete one version of the referral form.




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