We operate an open referral system, so while you can be referred by another person or service, such as your Doctor, you can also refer yourself directly.

At EDAMH we offer support to adults (18+) experiencing mental ill health.

If you have any questions, you can speak to our team by contacting our Kirkintilloch office on 0141 955 3040.


Referral Form


Please note all sections in the referral forms have to be completed to help us identify the appropriate service for the person being referred. If there is insufficient information on a referral form we will be unable to process the referral and the form may be returned, delaying the referral process.

Name of person being referred to EDAMH(Required)
MM slash DD slash YYYY
Address(Required)

Referrer details, if relevant

Name

Presenting issues, requirements and risks

Consent and Confidentiality

The information you provide will be held in accordance with the Data Protection Act and EDAMH’s Confidentiality Policy. By ticking this box, you are confirming that the person being referred is aware of the referral and happy to be contacted by EDAMH?(Required)


Need To Talk About The Form?

If you are unsure about any of the sections within the form, please get in touch with us and one of our team will be able to explain what is involved in it.