Secure online form - Self Harm - Leicestershire & Rutland

This form will enable you to refer into the Harmless self-harm service. Whether you need help for yourself or for someone else, Harmless’ dedicated self harm support team are dedicated to supporting those who need our help.

On receiving your referral the individual can expect a response within 5 working days, if for any reason this does not happen then please do not hesitate to contact our service on 0115 8800 280 or
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Referral Source

GP Details