South Cumbria CAMHS self-referral

Please note: these forms are currently being reviewed by young people and future editions may change.

Please complete the self-referral form below.

If you have a parent or other adult who can support you to complete the form then they can help you to fill it in or fill it in for you.

If you are unable to complete the form online you can download a copy, complete and post to: Child and Adolescent Mental Health Service, Alfred Barrow Health Centre, Duke Street, Barrow-in-Furness, Cumbria, LA14 2LB or email to

Please phone 01229 402696 if you have any queries, we are available between 9am and 5pm Monday to Friday.

South Cumbria self-referral

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