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Referral form: Growing Mind’s

Growing Mind’s: Referral Form

Thank you for choosing to access support with North Kent Mind’s NHSE Recruit to Train programme: Growing Mind’s. This programme is an NHS England training pathway that supports trainees to develop the skills and qualifications needed to work in mental health services.

CYP Personal details

School/College name & address

(if attending):

GP Details

(including  address):

Parent/ Carer contact details (if below 16):

Emergency contact details (if different to above)

Referral details

Please note, if the CYP is currently engaged in any form of therapy, they will not be able to access this service until that comes to an end.

Please tick any areas that best describe the young person’s current needs

Further details

Consent

By submitting this referral, you confirm that the information provided is accurate to the best of your knowledge and that the young person and/or their parent/carer is aware of and consents to this referral being made.

Referrer details