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

Welcome to Sandwell Talking Therapies

To get support from Sandwell Talking Therapies, please can you take some time to answer the following questions? This may take up to 10 minutes. We hope that by giving us as much information as you can about yourself and how you are feeling, it will speed up the referral and get you the most suitable support.

Please note we are not an emergency service. If you need urgent help then please do not wait for us to get in touch with you. Please contact your GP, Doctors on Call (0300 555 0277), or attend Accident and Emergency at your nearest Hospital. Alternatively, you can call Samaritans on their 24 hour helpline on 08457 90 90 90. These services will be able to help you straight away so please contact them for further support.

Following submission of this online form, you are consenting to correspondence between Talking Therapies and your GP.

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Thank you for taking the time to answer all of these questions. The service is open Monday to Friday 8am-8pm and Saturday 9am-5pm. We will be in touch with you in due course. Please note we will be contacting you from a number withheld.

If you feel you cannot wait this long please contact your GP, Doctors on Call (0300 555 0277), or attend Accident and Emergency at your nearest Hospital. Alternatively, you can call Samaritans on their 24 hour helpline on 08457 90 90 90. These services will be able to help you straight away so please contact them for further support.

Thank you.

Contact Telephone: 0121 612 6650

Contact Email: bchft.sandwelltalkingtherapies@nhs.net