Confidential Referral Form

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.

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

Use this confidential referral form to join York Mind, alternatively download and print this Word version and send it to:

York Mind
Highcliffe House
Highcliffe Court
YO30 6BP