CAMHS Self-Referral Form

'Welcome to the Nottinghamshire Child and Adolescent Mental Health Service (CAMHS) online referral form.

Your referral will be reviewed within 72 hours and if required you will be contacted as soon as possible. Please contact the CAMHS Single Point of Access (SPA) on 0115 854 2299 if you want to discuss this referral, or support during office hours of 9am to 4pm, Monday to Friday. if you have immediate concerns about your safety or the safety of the person you are referring, you can contact the SPA on the number above.

Please do not make an urgent referral through SPA, outside of these hours, young people, families and professionals can contact the CAMHS Crisis Team on 0808 196 3779 option 1, who are available 24/7.

For support out of these hours, please contact ChildLine on 0800 1111 or Samaritans on 116 123.

Information within this referral will remain confidential. If there is any information that raises concerns about your safety or the safety of others, this information may be shared.

Two separate CAMHS services cover Nottinghamshire. If your GP is within the Nottingham City boundaries, then please find information on how to refer to their services by calling 0115 876 4000.

Follow this link to view our privacy policy. It explains how we will use and protect any information about you that you give us when you use this web form.

 

Please read before completing a referral

The referral form may take up to 30 minutes.  You must complete the form in one sitting.

Incomplete forms will be submitted to the CAMHS / MHST team after 90 minutes.

 

Click here to complete a referral

 

 

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