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Thank you for your interest in South East London Mind (SEL Mind)’s Connect Peer Support groups.

We offer three 6‑week peer support groups - offering a supportive space for people to connect with others who may be experiencing similar mental health challenges.

The groups meet weekly, at a convenient community space in Lewisham (details provided upon registration).
Refreshments are provided.
If you would like to register your client's interest in attending one of the Peer Support Groups, please complete this form.

Please note that all fields marked with a red * are compulsory and must be completed before you can submit this form.

More information on these groups can be found on our website: https://selmind.org.uk/lewisham-mental-health/connect/

Identity

Forename of client

Surname of client

Date of birth of client (Please check for right year)

Risk Assessment

As we provide refreshments, please let us know if your client has any allergies or dietary restrictions that we should be aware of

Address

Address line 1 of client

Address line 2 of client

Town

Client's Postcode

Contact

Client's mobile number

Client's email address

Client's Emergency contact details: Please include full name, relationship to your client, phone number(s) and email address

Service communication preferences?

Medical Professionals Information

Please let us know who your client is working with from the Primary Care or Community Mental Health Team at SLaM

Please include their contact details: their email and mobile number

Referrer's Information

Accessibility Information

Please let us know any accessibility needs your client may have for attending the group (e.g. mobility, communication, sensory support needs)

Additional Information

Please share with us why your client would like to join one of our peer support groups (e.g. what they might like to gain / achieve, why they feel ready for a peer support group).

Lewisham Connect Peer Support (Professional Referral)

Professionals Referral Registration form

Identity

Risk Assessment

Address

Contact

Medical Professionals Information

Referrer's Information

Accessibility Information

Additional Information

Lewisham Connect Peer Support (Professional Referral)

Professionals Referral Registration form

Identity

Risk Assessment

Address

Contact

Medical Professionals Information

Referrer's Information

Accessibility Information

Additional Information

Please confirm the following details are correct

Accessibility Information