0%

1. Who are you?

 
Please note: If you need any help completing this form you can call the Wellbeing Service on 0300 002 0060 (Monday-Friday 9am-5pm).

We use the data you provide in this form to help us make the best decision for your care, and to ensure that we are the right service for you. We will keep this information as part of our records of our work with you. All information is held securely— electronic and paper records are kept in a secure way.

For more information on how we use your data, please read the the Privacy Notices here: YMCA Dialogue Privacy Notice and Sussex Partnership Privacy Notice

 

We sometimes refer patients on to other organisations, or liaise with other organisation, who may be able to support your care, such as local councils, other NHS trusts and charities. Click below to find out how some of these organisations manage your information: Schools Mental Health Service and Schools Mental Health Service (Emails)

1. Please tell us who you are, so we can guide you to the correct next page: *