Confidential Referral Form

Use this confidential referral form to contact York Mind. Alternatively, download and print this Word Version and send it to:

York Mind
Highcliffe House
Highcliffe Court
York
YO30 6BP

Before filling in the referral form please take a look at the different services we have on offer and mention these in your referral so that it can be dealt with more effectively.

Please note we are not a crisis service. If need urgent help then please click here.

If referring on behalf of someone else, please include your name and contact details in the notes section.