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Mums Matter Referral Form

Referrer

Your Contact Details

Your contact details will be held on Manchester Mind's database, which can only be accessed by current Manchester Mind staff.. We will not share these with any other organisation. We will use these details if there is an issue with the referral (e.g. we cannot make contact with the young person, or we need further details about their situation), a member of Manchester Mind staff may contact you for more information. For more details of how we hold personal data please see our Data Privacy Notice.

We will use the details in this form to contact the  person and arrange an assessment meeting with them. Please make sure they are aware this will happen before proceeding with this referral.