Self-referral Form Name *Email * Telephone Number *Subject If you are accessing our NHS talking therapies please tell us which GP surgery you are registered with *Please note you will need your NHS 10 digit number (###-###-####) to access talking therapies. See NHS Number Leaflet below for more information.Message Privacy Policy *By ticking this box I agree to North Kent Mind's Privacy policy.MessageSubmit Click to view Privacy Policy For more information on NHS Numbers see our NHS Number leaflet.