Mental Health Review

Suicidality

If you're feeling overwhelmed by thoughts of not wanting to live or you're having urges to attempt suicide, get help now. You may be worried about telling someone, it’s important to open up to someone you trust.

If you are at immediate risk of suicide call 999 for help.
Contact the practice for support or 111 if out of hours
Samaritans 116 123 (24hrs/day)
Breathing Space 0800 83 85 87 (Mon–Thurs: 6 pm–2 am, Fri: 6 pm–Mon 6 am)
SHOUT: Crisis text line 85258 (24 hours, everyday)
For online support and resources visit: Staying Safe From Suicidal Thoughts

We may contact you by text message regarding your review form or medication. Do you consent to this? *

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This Form Collects Your Name, Date of Birth, Email, Other Personal Information and Medical Details. This is to Confirm You Are Registered With the Practice, to Allow the Practice Team to Contact You and Also to Update Your Medical Records Held by the Practice and Our Partners in the Nhs. Please Read Our Privacy Policy to Discover How We Protect and Manage Your Submitted Data. *

I consent to the practice collecting and storing my data from this form.

Your Medication

Please answer the following questions if you are taking any medication for your mental health?

Do you wish to continue on your current medication? *

Yes No

Do you have any side effects from your current mental health medication? *

Yes No

Do you wish to speak to a doctor about your medication or mental health? *

Yes No

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Further Information