1. 1) Self referral form 
  2. 2) PHQ9 
  3. 3) GAD7 
  4. 4) Phobia 
  5. 5) WSAS 
  6. 6) IAPTEmployment 
  7. Completed

Trent Psychological Therapies Service

There is no need for anyone to deal with mental health problems alone. Complete our self-referral form below to access our service. Our service is funded by the NHS, so there is no cost to you. You must, however, be registered with your local GP to access the service.


If you can’t locate your GP surgery in the list provided, or need help completing the form please call us for assistance on:

- 01332 265 659 for Derby City and surrounding areas

- 01246 385 752 for Chesterfield

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