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

In the form below, when asked "What service are you interested in accessing at York Mind?", if the service you are seeking is not listed in the dropdown options, it is because it is temporarily closed to referrals.

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.