G.L.O.W Service: Self-referral form

If you are aged 14-25 and living in Gravesend, Dartford or Swanley and are facing challenges with your mental health, you can access one-to-one or group support designed to enhance your overall wellbeing.

G.L.O.W Service: Referral Form

Young Person details

Young Person contact details:

Parent/ Carer contact details (if below 16):

Referral Reason

If you are a professional completing this referral on behalf of a young person, please provide your contact information below.

Referrer Details