Stockport Self Help Professional Referral Form

Welcome to the Stockport Psychological Wellbeing Service.

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

Please note, we require consent from the client to process the referral, if the client has not given you permission to submit this referral, do not submit the referral.

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 the person. 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 the person, we will make sure that they see the right professional for their situation and get the support they need with the community.

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

Please note: this service is not a crisis service and will not be suitable if the person is at immediate or imminent risk to themselves or others.

For those who feel that they are in distress, for example if they feel at risk of harming themselves or others then we would urge them to contact any of the following organisations who are able to offer support:

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

Alternatively, we would request that they contact their GP. Or if in crisis, attend their local A&E department.

(They may wish to call an ambulance on 999)

If you want to find more about how we use people’s 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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Client/Patient Contact Information

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We will try to contact the client by telephone unless otherwise advised. If possible please provide a mobile number in addition to a landline.
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GP Details

Unfortunately if the clients GP is not listed in the drop down we are unable to offer them support via our service. Please search NHS choices for their local IAPT provider.
We are required to notify the clients GP that they are accessing our service. Please provide permission for us to write to the GP with this information.
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Details of Referrer

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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.

Additional Information

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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, available in over 45 languages.
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