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The following links below mark the 21 most recent pages you have visited in Sunderland.ac.uk.

Student Wellbeing Referral Form

To make an appointment with one of the wellbeing team for counselling, mental health and or general support please complete referral form. We will then contact you as soon as possible to book a convenient time.

Please fill in the details below, then click the Submit button.

Required fields marked with a star

(The initial assessment will be by phone)

Academic Details

Faculty
Year of Study
Course
Campus

Please indicate times when you are available for an appointment (We may be able to allocate appointments at short notice).

The more flexible you are with times and days, the sooner you are likely to be contacted.

We are based at the City Campus, 1st floor Edinburgh Building. In addition we also offer sessions at St Peters Campus (Mon-Fri).

Please state any times when you are available.
Please select a maximum of 3 issues to be addressed















Impact on University


Assessment of risk


If "yes" then please ensure you contact the local Crisis Team 0303 123 1145. They are open 24/7 and are there for people over the age of 16 experiencing a mental health crisis.

Other sources of support:

The Samaritans 08457 90 90 90 / jo@samaritans.org

SANEline 0845 767 8000, open 1pm-11pm every day www.sane.org.uk

24-hour National Domestic Violence Freephone Helpline 0808 2000 247

Your GP

Your Accident & Emergency Department (24 hours)










Please state below


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