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Referral Form

Fill in this referral form and a friendly member of our team will get in touch with you within 2 working days, to take some more details and arrange your first appointment.

We are not an urgent crisis service. If you feel at risk of harming yourself, or can't keep yourself safe, please visit our ‘Get urgent help’ page for emergency contacts.

Which Together in a Crisis Service would you like to refer yourself to? You should choose the service being offered in the area where you live.

Check if you are eligible

Unfortunately the Teesside Together in a Crisis service only accepts referrals from healthcare professionals. We’re very sorry you can’t make a referral.

If you need urgent support you can contact the following service:

Your local NHS mental health Crisis Team offers telephone and face-to-face support depending on your needs and can be contacted 24 hours a day, 365 days a year.

The contact details for your local service are as follows:

Tees, Esk and Wear Valleys Crisis Team - 0800 0516 171 (https://www.tewv.nhs.uk/services/crisis-advice/)

Additional support is offered by several national charities:

Shout Crisis Text Line - text 'SHOUT' to 85258 (https://giveusashout.org/)

The Samaritans - call 116 123, or email jo@samaritans.org for a reply within 24hrs (https://www.samaritans.org/)

SANEline – call 0300 203 7000 to talk to someone between 4pm and 10pm every day (https://www.sane.org.uk/how-we-help/emotional-support)

Campaign Against Living Miserably (CALM) – call 0800 58 58 58 to talk to someone between 5pm-midnight every day (https://www.thecalmzone.net/get-support)

If you are at immediate risk of harming yourself, have harmed yourself or need help right now, please call 999.

If you are not able to speak to someone from your local Crisis Team helpline, need urgent help with your mental health, or are unsure what to do you can get help and advice by calling 111, or by using the NHS 111 online service (https://111.nhs.uk/).

Additional advice on where to access urgent mental health support can also be found on the NHS website: https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/

Unfortunately the Newcastle Together in a Crisis service only accepts referrals from healthcare professionals. We’re very sorry you can’t make a referral.

If you need urgent support you can contact the following service:

Your local NHS mental health Crisis Team offers telephone and face-to-face support depending on your needs and can be contacted 24 hours a day, 365 days a year.

The contact details for your local service are as follows:

Newcastle and Gateshead Crisis Team - 0800 652 2863 (https://www.cntw.nhs.uk/services/crisis-resolution-home-treatment-service-newcastle-gateshead/)

Additional support is offered by several national charities:

Shout Crisis Text Line - text 'SHOUT' to 85258 (https://giveusashout.org/)

The Samaritans - call 116 123, or email jo@samaritans.org for a reply within 24hrs (https://www.samaritans.org/)

SANEline – call 0300 203 7000 to talk to someone between 4pm and 10pm every day (https://www.sane.org.uk/how-we-help/emotional-support)

Campaign Against Living Miserably (CALM) – call 0800 58 58 58 to talk to someone between 5pm-midnight every day (https://www.thecalmzone.net/get-support)

If you are at immediate risk of harming yourself, have harmed yourself or need help right now, please call 999.

If you are not able to speak to someone from your local Crisis Team helpline, need urgent help with your mental health, or are unsure what to do you can get help and advice by calling 111, or by using the NHS 111 online service (https://111.nhs.uk/).

Additional advice on where to access urgent mental health support can also be found on the NHS website: https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/

Unfortunately the Newcastle Together in a Crisis service only accepts referrals from healthcare professionals. We’re very sorry you can’t make a referral.

If you need urgent support you can contact the following service:

Your local NHS mental health Crisis Team offers telephone and face-to-face support depending on your needs and can be contacted 24 hours a day, 365 days a year.

The contact details for your local service are as follows:

Northumberland and North Tyneside Crisis Team - 0303 123 1146 (hhttps://www.cntw.nhs.uk/services/crisis-resolution-home-treatment-team-northumberland-north-tyneside/)

Additional support is offered by several national charities:

Shout Crisis Text Line - text 'SHOUT' to 85258 (https://giveusashout.org/)

The Samaritans - call 116 123, or email jo@samaritans.org for a reply within 24hrs (https://www.samaritans.org/)

SANEline – call 0300 203 7000 to talk to someone between 4pm and 10pm every day (https://www.sane.org.uk/how-we-help/emotional-support)

Campaign Against Living Miserably (CALM) – call 0800 58 58 58 to talk to someone between 5pm-midnight every day (https://www.thecalmzone.net/get-support)

If you are at immediate risk of harming yourself, have harmed yourself or need help right now, please call 999.

If you are not able to speak to someone from your local Crisis Team helpline, need urgent help with your mental health, or are unsure what to do you can get help and advice by calling 111, or by using the NHS 111 online service (https://111.nhs.uk/).

Additional advice on where to access urgent mental health support can also be found on the NHS website: https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/

Your contact details


We will need to be able to contact you by phone, so please provide us with at least one number. When we call you, it will be from a withheld number within two working days of you submitting the form. If we can’t reach you, we will send you a text or email, or leave you a voicemail to arrange a convenient time. Please ensure you have consented to at least one of these options.

Can we leave a voicemail on this number?

Can we text you on this number?


Can we leave a voicemail on this number?


Can we email you at this address?

Why are you referring yourself to Together in Crisis?

Are you currently being supported by another other services? (e.g Crisis Team, Social Care?)

When we call you, it will be from a withheld number within two working days of you submitting the form. If we can’t reach you, we will send you a text or email, or leave you a voicemail to arrange a convenient time. Please ensure you have consented to at least one of these options.

By submitting this form, you consent to your information being shared with Everyturn. This information will be handled securely, in line with the Data Protection Act 2018. For full details, read our privacy policy.

Thank you for your referral.

We aim to contact you within 2 working days using the contact details you have provided.

If you need urgent support you can contact the following service:

Your local NHS mental health Crisis Team offers telephone and face-to-face support depending on your needs and can be contacted 24 hours a day, 365 days a year.

The contact details for your local service are as follows:

Northumberland and North Tyneside Crisis Team - 0303 123 1146 (hhttps://www.cntw.nhs.uk/services/crisis-resolution-home-treatment-team-northumberland-north-tyneside/)

Sunderland and South Tyneside Crisis Team - 0800 652 2863 (https://www.cntw.nhs.uk/resource-library/south-tyneside-sunderland-universal-crisis-team/)

Additional support is offered by several national charities:

Shout Crisis Text Line - text 'SHOUT' to 85258 (https://giveusashout.org/)

The Samaritans - call 116 123, or email jo@samaritans.org for a reply within 24hrs (https://www.samaritans.org/)

SANEline – call 0300 203 7000 to talk to someone between 4pm and 10pm every day (https://www.sane.org.uk/how-we-help/emotional-support)

Campaign Against Living Miserably (CALM) – call 0800 58 58 58 to talk to someone between 5pm-midnight every day (https://www.thecalmzone.net/get-support)

If you are at immediate risk of harming yourself, have harmed yourself or need help right now, please call 999.

If you are not able to speak to someone from your local Crisis Team helpline, need urgent help with your mental health, or are unsure what to do you can get help and advice by calling 111, or by using the NHS 111 online service (https://111.nhs.uk/).

Additional advice on where to access urgent mental health support can also be found on the NHS website: https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/

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