No body should have to deal with mental health problems alone, which is why we have a self-referral form to help you, or you and your
partner, access our service. If you are referring for couples therapy, a referral form will need to be completed by both applicants.

We are funded by the NHS so there is no cost to you for treatment, however you must be registered with your local GP’s service in order to
access our services, aged over 18yrs if you live in Nottinghamshire and over 16yrs if you live in Derbyshire.

The initial meeting and your ongoing therapy will be provided by highly trained practitioners by: telephone, online live messages and video, or in a face to face session at one of our many dedicated centres. In some circumstances it might be a combination of above methods to suit your convenience, working patterns or because it might be difficult to use transport. Appointments are available during the day and evenings and in some cases at weekends.

If you require any help completing this form, please do not hesitate to give us a call on one of the numbers stated below.

• 01332 265 659 – Derby City and surrounding areas
• 01246 385 752 – Chesterfield
• 0115 896 3160  – Nottinghamshire

By submitting a referral form, you consent to us contacting you directly and sharing your information on our systems.

For further information, please refer to our Privacy Statement. If you wish to withdraw your consent for treatment and/ or contact with Trent PTS, please contact us at referrals.trentpts@nhs.net, or alternatively via one of the numbers listed above.