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Talking Therapies Referral Form

Welcome to Pure Innovations Therapy Service, part of the NHS Talking Therapies.

We support anyone aged 16+ who is registered with a GP in Greater Manchester and experiencing common mental health difficulties such as anxiety or depression.

Our Psychological Wellbeing Practitioners (PWPs) offer guided self-help support online, by phone, or face-to-face, and can help connect you with other services if needed.

Please complete the form below so we can understand how best to support you.

Important: This service is not a crisis service. If you need urgent help,

  • NHS (non-emergency) 111 (24hrs)
  • Samaritans (Helpline) 116 123 (24hrs)
  • your GP
  • A&E
  • or 999 in an emergency

If you want to find out more about how we use your information, please see our terms and conditions

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We will try to contact you by telephone unless otherwise advised. If possible please provide a mobile number in addition to a landline.
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Your GP Details
We are required to notify your GP that you are accessing our service. Please provide permission for us to write to your GP with this information.
Please note that if you don't give permission for us to contact your G.P., this may impact the type of support we can offer.
If you cannot find your GP surgery on this list, 'Please select out of area GP, and type the name of your GP surgery and the address below
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What you'd like Support With
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About you
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You can change your mind before or during an appointment by informing your practitioner.
To view Pure Innovations' Privacy Notice, please see our webpage: https://www.pureinnovations.co.uk/privacy-policy/
If this is a professional referral please leave your contact details below:
Person making referral:
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Please complete the following questionnaires if you are making a self-referral.

If you are making a referral on behalf of somebody else you do not need to complete these questionnaires.

Contact Telephone: 0161 804 4415

Contact Email: talkingtherapies@pureinnovations.co.uk