Referral

We are currently only taking self-referrals from men in Merseyside.
If you are a man facing a suicidal crisis in London, or anywhere else, please talk to your GP.

Please read the ‘who we help’ page before submitting a referral form.

We cannot accept referrals for anyone receiving secondary mental health care or with complex drug and alcohol issues. We cannot accept referrals from anyone who is street homeless or has a severe and enduring mental health condition.

Please download the referral form here and fill it in as completely as possible.

After saving the completed form in your files, you need to upload it here to send it back to us.