Online Referral Form
Please be aware that We Are With You does not provide a crisis service. If you need urgent help, you can:
- Call your GP and ask for an emergency appointment.
- Call NHS 111.
- Contact your mental health crisis team on 0800 915 4644.
- Call Samaritans free on 116 123 or email jo@samaritans.org
If you are having any difficulties with completing the referral form please email enquiries@wearewithyou.org.uk or call us on 0300 012 0012.
If you are a professional making a referral please complete our Professionals Online Referral Form - https://www.wearewithyou.org.uk/surrey-talking-therapies
Upon Submitting the referral form at the end, you will be invited by text message to book an initial assessment appointment via our online booking calendar.
Please click the below button to complete the form. *Indicates a required field.