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Please proceed if you can answer YES to the following questions,

  • If they have struggled with addiction, have they been abstinence for 3 months or more?
  • Has the participant has been stable for a minimum of 6 months from a psychotic episode?
  • Is this person able to engage with guided self-help, small goal setting and be able to work towards them?
  • Are they punctual and well organised?
  • Are they currently safe and able to take care of themselves?
  • Are they at a point in their recovery where guided self-help will be suitable?
  • Are they located in the Bournemouth, Christchurch and Poole area?
Please tick the box below to confirm and proceed
Has the participant consented to this referral?

Referrer Information

Name
Address

Participant information

Name
Address

Please provide details about any of the following risks you are aware of

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