№ lp_2_1_32543
Administrative healthcare referral form used in primary care to submit patient information and clinical details for access to psychological therapy services in Tower Hamlets.
Organisation: Tower Hamlets Talking Therapies (THTT)
Region: Tower Hamlets
Country: United Kingdom
Type of document: Patient referral form
Subject: Referral for mild to moderate common mental health problems and eating disorders in primary care
Target group: Adults aged 18 and above living in Tower Hamlets or registered with a Tower Hamlets GP
Related services: Community Mental Health Team; Mental Health Care for Older People
Contact telephone: 0208 175 1770
Confidentiality note: For official use only
Required information: Patient details, GP details, referrer details, mental health history, risk assessment, substance use, current psychiatric care, significant past medical history
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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