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Manchester Mind CYP Services Self- Referral Form

Privacy Notice

Your Data and GDPR
Manchester Mind is registered with the Information Commissioner’s Office (ICO), and complies with the requirements and procedures of the General Data Protection Regulation (GDPR).

The personal details you give on this form will be stored in our password protected database, that only current Manchester Mind staff can access.

Under GDPR we hold and use this data on the basis of Legitimate Interest. To enable us to deliver the service(s) you have requested

We do not, and never will, sell your data for marketing purposes. We will only use it in the manner described below.

  • Your details will be used to contact you and discuss how we can help you
  • We will also use this data internally to monitor the effectiveness and fairness of our services
  • Some of the data you provide may be shared in an anonymised form, with our funding bodies

All information provided will be held securely by Manchester Mind in accordance with our Data Policy. For more information see our Data Privacy Notice.

Your Contact Details

Please leave either a phone number or email address, so that we can contact you about your enquiry.

How do you prefer to be contacted
Are you happy for voicemail messages to be left? Should we leave a message if someone else answers the phone? Is there anyone we should not speak to? Please give as much detail as possible.
CYP Services- Eligibility

Manchester Mind Children and Young People's Counselling Service is open to young people aged between 18 and 25 who live in Manchester.

After you complete this form one of our experienced staff team will review your referral and contact you to offer the support that best suits your needs.

If the you don't live in Manchester, or are under 18, you can still complete this referral form or you can call 0161 769 5732.  We will try to signpost you to services that are able to help.

We no longer run Young People's Peer Support Groups. Our Adult Peer Support Groups are open to anyone aged 18 and over. See our Peer Support Group pages for further information. Or to find out about joining a group complete the Peer Support Referral form.

Are you (your family) Manchester residents? Do you pay council tax to Manchester City Council?
Enquiry Details
What is your current situation? What issues would you like help with?
Are you getting help or support from other organisations?
How did you hear about us?
Have you used Manchester Mind Services before?
How did you hear about us?