LGBT Foundation Services - Self Referral Form
Prior to completing a referral form for our services, please note that we are currently unable to accept referrals for our Talking Therapies Programme, Rainbow Brew Buddies Programme, and referrals for casework support for those who are low and medium risk within our Domestic Abuse Programme. This is due to an increased demand for these services. Despite this, we are still currently accepting referrals for our Recovery Programme & Trans Advocacy Programme and you can access advice and support from our Sexual Health Programme by completing the following advice referral here: https://lgbt.foundation/sexualhealth/advicereferral
We will keep our website updated with any changes throughout this period of time, including when we re-open the referrals service for the above programmes. In the interim, if you would like any emotional support, brief advice or signposting please contact our helpline on 0345 3 30 30 30 or email us at [email protected]
Please complete the form below to access our wide range of wellbeing services. Once you have submitted this form, we will invite you to our building for an assessment. All of our services are free at the point of care and we are here if you need us.
We understand that confidentiality is important to our service users. The information that you share with us will be kept in the strictest confidence and in accordance with the Data Protection Act (1998). During the Intake and Assessment meeting, a member of the Services Team will explain to the service user the exceptional circumstances when confidential information will have to be shared, for example, if they or somebody else is at risk of significant harm or where there is a requirement in law in the case of serious criminal offences (in particular terrorism and money laundering). In such exceptional circumstances, we will try to get their consent before disclosing any information if that is possible and do our best to help them. For further info on our policy please contact us at 0345 3 30 30 30.
By completing this form and clicking 'submit' below, I understand and agree to the following;
LGBT Foundation will collect information about you and the care you receive, this includes your referral form, assessments notes, paperwork related to the services that you access and correspondence related to your care.
My information will either be stored in paper form and/or in electronic records. All data that is collected is subject to the strict rules of confidentiality laid down by Acts of Parliament, including the Data Protection Act 1998, the Health and Social Care Act 2001.
LGBT Foundation may also get information about me from certain other organisations or give information about me to them: to make sure the information is accurate: prevent or detect crime or significant risk: and protect public funds. These organisations include local authorities, the police and or other healthcare professional