Make a referral

MHC welcomes enquiries about any of its services and will be happy to provide you with more information.

To make a referral, please use our online form, or contact the Admissions and Pathways Team on:

Telephone: 01824 792114
By our secure fax line: 01824 792117
By email to: placement@mhc-uk.com

To aid our service managers with their assessment, please forward one or more of the following most recent reports:

Psychology
Psychiatry
Social History
Community Care Assessment
Any other information that might help in identifying the most appropriate service

We aim to assess individuals within 5 working days of receipt of the information.

REFERRAL FORM

Please use this form to submit a referral. Fields marked with * are required.

Preferred MHC Location
Location
Referrer
Name*
Email*
Telephone*
Job Title*
Authority*
Address*
About the Referral
Name or Initials*
Gender*
Primary Diagnosis*
Age*
Brief Overview*
Supporting documents
File Upload
Drop files here or

Max. file size: 16 MB.
Where did you hear about us?
Please tell us how you heard about MHC*
Comments
This field is for validation purposes and should be left unchanged.

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