Here For Each Other staff wellbeing service team member referral form

Please use this form to refer a member of your team or a colleague to the Here For Each Other staff wellbeing service.

• If you are here to refer yourself to the staff wellbeing service, please use our self-referral form.
• If you are here to refer a whole team to the staff wellbeing service, please use our team referral form.

This online referral form is fully secure and all details below will be stored on our secure and confidential system. By completing this form you agree to these terms and to be contacted via any available method.

Once you submit the form we will be in contact with the person you have referred with an appointment offer as soon as possible.

Please ask them to monitor their junk/spam email folder so they don't miss anything from us.

In line with Dorset HealthCare and other NHS Trusts, our service operates a Did Not Attend (DNA) Policy. If you fail to attend two consecutive appointments without prior notification, you will be discharged from our service. Where possible, we would appreciate at least 24 hours’ notice of any cancellations of appointments in order for the appointment to be offered to someone else.

If they require urgent mental health support, please contact the Dorset 24/7 Connection helpline on 0800 652 0190.

Return to the "Here For Each Other" staff wellbeing website.