Short Intervention Therapy – Referral form

This referral form will need to be completed by a Social Worker (PA if care leaver is over 18) or Early Help worker, GP/Nurse or professional of CAMHS/NELFT

Referral forms should be sent either using the form below or encrypted, with password protection (with a subsequent password sent in a follow-up email) to: shortinterventiontherapy@northkentmind.co.uk

For data protection reasons, please do not send referral forms that are not secured in one of the above ways.

Referral forms can also be physically handed to reception at:
North Kent Mind, The Almshouses 20 West Hill, Dartford DA1 2EP.

Click here to download the printable form.