If you are a parent or carer for a child, or a young person (aged 16 or over), you can make a self-referral by downloading the form below. If you do have any queries however, please don't hesitate to call us on 0191 283 2937.

If you are a professional and would like to refer a child or young person to our service, please download and complete the referral form by visiting the links below. The form should be posted to:

South Tyneside Lifecycle Primary Care Mental Health Service
Cleadon Park Primary Care Centre
Prince Edward Road
South Shields
Tyne & Wear
NE34 8PS

You can also send the referral form by secure email to: stsft.mhadminteam@nhs.net You will need to email the form from a secure email address e.g. .net or .nhs account. If you are having trouble downloading or emailing the referral form please contact us on 0191 283 2937.

Click here to download our professional referral form:

Click here to download our young person / parent referral form: