1. 1) Self referral form 
  2. Completed

Stockport Self Help Self-Referral Form

Welcome to the Stockport Psychological Wellbeing Service.

We provide support to people aged 16 or above who are registered with a Stockport G.P.

We provide support for common mental health conditions, such as anxiety and depression, including: counselling, cognitive behavioural therapy, mindfulness, or guided online therapy.

The service is delivered by a range of professionals including psychological wellbeing practitioners (PWP’s) and counsellors, who will find the support that is right for you. This could be a group workshop, an online or telephone based course of self-help treatment, or an individual therapy session.

If, for any reason, our service isn’t right for you, we will make sure that you see the right professional for your situation and get the support you need with the community.

To help us put you in touch with the team who can give you the support you need, please complete the form below.

Please note: this service is not a crisis service and will not be suitable for you if you are at immediate or imminent risk to yourself or others.

If you feel that you are in distress, for example if you feel at risk of harming yourself or others then we would urge you to contact any of the following organisations who are able to offer support:

  • NHS (non-emergency) 111 (24hrs)
  • Samaritans (Helpline)116 123 (24hrs)

Alternatively, please contact your GP. Or if in crisis, attend your local A&E department

(you may wish to call an ambulance on 999)

If you want to find more about how we use your information, please see this page to see our terms and conditions: https://www.selfhelpservices.org.uk/Privacy/

The Stockport Psychological Wellbeing Service is delivered by Selfhelp who work in Partnership with Stockport Women’s Centre, Beacon Counselling and Pennine Care NHS Foundation Trust.

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Your Details
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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.
Unfortunately if your GP is not listed in the drop down we are unable to offer you support via our service. Please search NHS choices for your local IAPT provider.
Please note that if you do not give permission for us to contact your G.P., this may impact the type of support we can offer.
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Please note: this service is not a crisis service.
If you feel you are at immediate risk to yourself or others, see the top of this form for organisations that can best support you.

Presenting Problem
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To help us to continue delivering quality care, from time-to-time trainee practitioners are required to shadow our qualified practitioners during live appointments.
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Please note: should you provide consent now, you can change your mind at any point before or during your appointment.

About you
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To support your waiting times, we may share your data with our partner Xyla Digital Therapies, who support us in the delivery of therapy on Monday-Sunday between 7am-11pm.
Access to therapy is via secure video, online audio, telephone and text, available in over 45 languages.
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Contact Telephone: 0161 480 2020

Contact Email: stockporttalkingtherapies@thebiglifegroup.com