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Registration form for CNWL Talking Therapies Service Brent

Welcome to Brent Talking Therapies and thank you for your interest in attending one of our workshops. We offer workshops to help people manage a number of problems such as worry, low mood, stress and more. Our workshops are delivered by trained Psychological Wellbeing Practitioners and Psychological Therapists.

As an NHS service, we are obliged to take the following information to ensure our support is reaching everyone in the borough of Brent. Please fill out the short form below to register for an upcoming webinar.

All the information you provide is kept confidential and will not be shared with any other organisation. If you have any further questions about this, please do not hesitate to contact us on 020 8206 3940 or by email at cnw-tr.brent.iapt@nhs.net.

Please note, this is not our service referral form. If you would like to refer for one-to-one talking therapy, use the ‘Refer yourself’ tab at the top of the page

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Registration form for CNWL Talking Therapies Service Brent

We deliver workshops to community organisations, which are listed below. Webinars that are open to the general public will be listed as 'Brent Talking Therapies'.

Date completed Required

What is your surname? Required

What are your forenames? Required

What is your date of birth? Required

What is your postcode? Required

What is your gender? Required

Male

Female

Transgender

Gender non binary

Gender Fluid/ Gender Queer

I prefer not to say

What is your ethnicity? Required

White - British

White - Irish

White - Any Other White Background

Black or Black British - African

Black or Black British - Caribbean

Black or Black British - Any Other Black Background

Asian or Asian British - Bangladeshi

Asian or Asian British - Pakistani

Asian or Asian British - Indian

Asian or Asian British - Any Other Asian Background

Mixed - White and Black African

Mixed - White and Black Caribbean

Mixed - White and Asian

Mixed - Any Other Mixed Background

Other Ethnic Groups - Chinese

Other Ethnic Groups - Any Other Ethnic Group

Not Stated

Not Known

Please provide us with a contact number for you Required

Please provide us with an email address for you Required

How did you hear about the workshop/webinar? (e.g. Facebook, flyer, etc) Required

Thank you for registering for this workshop - click the 'submit' button below to send through to the service.

Our Talking Therapies Services are not able to provide immediate support in an emergency. If you require immediate help please contact your GP, or your local Accident & Emergency Department, or call the Urgent Advice Line on 0800 0234 650 open 24 hours

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NHS Foundation Trust and our partner organisations.}}

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Self-refer to Brent

Self-refer to Harrow

Self-refer to Hillingdon

Self-refer to Kensington and Chelsea

Self-refer to Westminster

Professionals area

If you’re not sure which CNWL Talking Therapies team to contact, NHS Choices will help you to find psychological therapies services that are available in your area.

There are many ways in which you can be referred to the Talking Therapies Service. You can be referred by your GP or other Health Professional, and you can also refer yourself online. After you have been referred or have self-referred to our service you will be asked some questions about yourself and shortly afterwards the Talking Therapies team for your borough will contact you.

If you already know which CNWL Talking Therapies team you need (Brent, Harrow, Hillingdon, Westminster, or Kensington & Chelsea), click on the relevant button above to go straight to their referral form. In order to be eligible for our service, you must be registered with a GP in the relevant area (regardless of whether you live in the area or not).

Staff support for health and care staff in North West London - the Keeping Well Service:

The Keeping Well service is here to provide wellbeing and psychological support to all NHS staff in North West London, all staff in care/residential homes in North West London, and all London Ambulance Service staff. Read more about the service and who the service is for at the dedicated website here. Please note: If you work in the North West London area and are an NHS staff member or work in the care sector then please self-refer through the borough in which you work and indicate that you are a North West London NHS, CNWL or Care sector staff member.

Brent

Kensington and Chelsea

Harrow

Westminster

Hillingdon