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Central Lancashire CAMHS self-referral

This form is for Central Lancashire, West Lancashire, Fylde and Wyre and Morecambe Bay.

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: Lancashire Care Foundation Trust (LCFT), Referral and Appointment Centre, FD GF 34, Daisyfield Mill, Appleby Street, Blackburn, BB1 3BL or email to C&F.ReferralCentre@lancashirecare.nhs.uk.

Please phone 01254 612600 if you have any queries, we are available between 9am and 5pm Monday to Friday.