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Temporary Changes due to Coronavirus (COVID-19)

WE ARE OPEN. We are continuing to accept referrals. Throughout the pandemic we have been offering telephone, video and online therapy, all of which have proved to be successful. Due to Coronavirus (Covid-19), we have made some temporary changes to keep you and our staff safe.

Temporary Changes due to Coronavirus (COVID-19)

Self-referral form

The RDaSH IAPT services in Rotherham provide support for common mental health problems such as anxiety, depression or stress. If you are 18 or over and experiencing any of these symptoms and would like help to manage it. Please complete the self-referral form below and we will contact you within 7 working days to book your initial assessment at the earliest convenience.

This service is only available to people who live in the Rotherham postcode area. If you live in a different area please contact www.nhs.uk.

This form is for Self-referrals ONLY. If you wish to refer someone to our service on their behalf, please contact us on 01709 447755.

To speak to someone in the Rotherham IAPT team please call the service on 01709 447755. Our phone lines are open 9am to 5pm, Monday to Friday, but outside of these times you can leave us a voicemail and we will get back to you.

Please ensure the details you provide below match those held by your current GP. If the details do not match we will need further details from you to be able to book your initial assessment. If you have not been contacted by our service within 7 days, please contact us on 01709 47755.

Rotherham IAPT does not provide a crisis response service, and if you need urgent support then please contact one of the following, available 24 hours a day, 7 days a week: NHS 111; the Crisis Team tel. 0800 652 9571; or the Samaritans tel. 116 123.







    Personal Info







    Contact Info








    Preferred Contact Number


    Are you happy for us to leave a voicemail?


    Do you consent to receive communication from us via letter?


    Would you like to receive SMS text confirmations and reminders for appointments?



    Other Info


    Interpreter Required?


    BSL Interpreter Required?



    Do you consider yourself to have a disability?




    If you live in Rotherham and you don't know your GP, enter "Unknown"
    Are you pregnant or do you have children under 2 years old?


    Are you a veteran?


    Are you a part of the wellbeing support project?