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Confidential Referral Form

Before filling in this referral form take a look at the different services we have on offer and mention these in your referral so that it can be dealt with more effectively. Please be aware that unless stated otherwise all services are for people 18 or over.

Please note that we are not a crisis service.  If you need urgent help then please click here.

If referring on behalf of someone else, please include your name and contact details in the notes section.

Please note that any information you provide will be confidentially stored in line with our Privacy Policy.

For further information about your rights and how we use your data please see our Privacy Notice.

Email 2*:

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Use this confidential referral form to join Doncaster Mind, alternatively download and print this word version and send it to:

Doncaster Mind
Exchange Buildings
Second Floor
35 Market Place
Doncaster
DN1 1NE

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