Wired Therapy - Referral Form
Hello - thanks for being interested in Wired Therapy. The next step is to complete this form and we'll be in touch to arrange a time to talk.
We are not a crisis service. If you are concerned about the immediate safety of you or someone else then call 999 for emergency services or visit your local A&E.

There are a few other services which may be able to support you:
The Mix - www.themix.org.uk 
Papyrus - www.papyrus-uk.org 
Samaritans - www.smaritans.org 

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