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Tuesday 28 March 2017
Derbyshire Healthcare NHS Foundation Trust
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Please be aware due to technical problems if you filled in this form between 2nd February and 8th February 2017, we may not have received your details. Please complete the form again or call us on 0300 123 0542. We apologise for any inconvenience caused.
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Self-Referral Form

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Please arrange an appointment with a Talking Mental Health Derbyshire Professional
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Urgent Referrals   

To refer to Talking Mental Health Derbyshire, please phone 0300 123 0542. We are open 9:00am - 5:00pm, Monday to Friday, or you can leave a message or email talking@derbyshcft.nhs.uk outside of these hours.

If you feel at risk of harm to yourself or others, please contact your GP Surgery and ask for an urgent appointment to see the doctor. If this is not possible, call the NHS 111 service by dialling 111 on your phone as they may be able to arrange an out of hours appointment if required.

The following helpline numbers offer confidential, emotional support:

  • Samaritans 116 123 - open 24/7 and can be contacted by dialling
  • FocusLine 0800 027 2127 - open outside of normal working hours and can be contacted on
  • Young Minds on 0808 802 5544 - if  you are a parent concerned about the wellbeing of a child, you can call .


Alternatively, please visit our  help in a mental health crisis page >>

If you feel that you are in immediate danger please telephone 999.

How to access help

Derbyshire Healthcare NHS Foundation Trust
Derwent Rural Counselling Service
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