Veterans & Families Referral Form

Confidential mental health support from Anxious Minds

Anxious Minds provides confidential counselling and mental health support for veterans, serving personnel and their families across the North East.

Through our Veteran Recovery College and counselling services, we understand that military life, transition to civilian life and the pressures experienced by Armed Forces families can have a lasting impact on mental health and wellbeing.

Our experienced counsellors provide a safe, supportive and non-judgemental space to talk about issues including anxiety, depression, trauma, bereavement, relationship difficulties, isolation, stress, transition from military life and other challenges affecting you or your family.

You do not need to be at crisis point to ask for support.

Please complete this referral form and a member of the Anxious Minds team will contact you to discuss your needs and the support available.

Veterans | Serving Personnel | Reservists | Partners & Families

Anxious Minds Veteran Recovery College
Supporting the Armed Forces community before, during and after difficult times.

Telephone: 0191 262 0305

Contact Us

About You

Who are you? (please select)
Gender
Preferred method of contact

Military History

Military History

Anxious Minds reserves the right to cross check the above information against military databases

Reason for Referral

Mental Health Support (Including)
Advice Support (Including)
Employment/Training Opportunities

We have a responsibility to act if we believe you or someone else may be at risk of harm. By signing below, you acknowledge that: If you disclose information suggesting risk to yourself or others, staff may need to share this with appropriate services. This is to ensure safety, wellbeing, and safeguarding, and will always be done with respect and sensitivity.

I declare that to the best of my knowledge, the above information is accurate. I understand and agree that this information will be held on a database in accordance with the GDPR Regulations(Data Protection Act). This, and any other relevant information, may be shared with commissioners and auditors.

I confirm the beneficiary has consented to this referral