Welcome to Impact on Teesside's referral page. We offer a range of services tailored to the goals you want to obtain in regards to your mental health. To get this process started, please fill out the referral form below that is most applicable to you.

Self Referral

Please refer yourself to our service by completing our online self-referral by clicking the button below to begin. This will guide you through a thoughtful, step-by-step conversation designed to help us understand your needs and give you the best possible experience. It also means you won’t need to repeat information later on.

A quick note: If you use VPN software, please turn it off before starting, as it may prevent access to the referral form.

If the online option doesn’t work for you, we’re here to help over the phone. Just give us a call on 01642 573924 and we’ll support you in getting started.

Please note: We’re only able to accept referrals directly from the person seeking support. We’re not able to take referrals from family members, friends, or partners.

Self Referral

Professional Referral

If you're a professional, you can refer to us by pressing the button below.

Professional Referral