Hearing Voices referral form

To make a referral for yourself or someone else for support from Hearing Voices, please read the service member privacy notice then complete the online form. 


Service member privacy notice

Who we are 

We are Mind in Bradford, a local mental health charity, supporting people of all ages across Bradford District and Craven. We work in partnership with local authorities, the NHS and the voluntary and community sector.

To support you as best as we can, we process personal information about you and the people who help you, such as family, friends and professionals. We only do this to provide and improve our services, promote your wellbeing and keep everyone safe. We may use your information to:

  • Discuss how we can support you.
  • Assess your needs, plan, and provide you with support.
  • Monitor the effectiveness and fairness of our services.

Keeping your information safe

We store your information electronically in secure systems that can only be accessed by staff working across our services. In some services (and we will tell you if this is the case), we store your information on SystmOne; a digital NHS platform.

Sharing your information

We may share your information with trusted people involved in your life, such as health workers, social workers, youth workers, your parent/s or carer/s, the police or your school. Where possible, we will seek your permission before sharing, and we will not share against your wishes unless we are worried about your safety, or the safety of someone else.  

We may share your information in an anonymised form with our funders. We do not, and never will, sell your information for marketing purposes.

More information

If you would like to know more about how and why we process your information, the kinds of information we process, and what rights you have in relation to your personal information, please refer to the Privacy Policy on our website. Alternatively, you can request a copy in person or over the phone.

Phone: 01274 730815
Office: Kenburgh House, 28 Manor Row, Bradford, BD1 4QU
Email: [email protected]

Hearing Voices referral form

Your details

If you’d like to keep up-to-date with our latest news and how you can get involved, sign up to our client mailing list. Your information will only be used to send out Mind in Bradford mailings.

Emergency contact details

Access and communication needs

Sources of support

Risk management

We use risk information to ensure the safety of our groups whilst supporting as many people as possible to access our services.

Hearing Voices support is offered in the form of a weekly peer support group or as 1-1 support via the Maastricht Interview Technique. Clients must have stable and secure accommodation, have no overdoses, suicide attempts or active plans for suicide in the last 6 months, as we need to ensure a level of stability before we start the 1-1 support. You can still be added to the waiting list and reviewed at that 6-month point.

This includes risk to you (from yourself or from others) and risk to others from you (including staff and other people using our services).

Additional information

Main reason for seeking support (select only one)

Diversity monitoring

We use the information below to help us improve fair access to our services for all, and to understand if there are any groups we could be better at supporting. The information is collected for research purposes and will not affect your involvement with Mind in Bradford in any way. Summaries of demographic information may be shared with funders, but it will not include personal details and cannot be linked back to an individual. If you have any questions please contact us at [email protected]

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To hear all about Mind in Bradford’s services, events, latest news and how you can get involved in our projects and fundraising activities, please fill in the form below.


Your privacy is important to us, we keep your information safe and we will never sell or swap your details for marketing purposes. You can easily unsubscribe from emails at any time using the link at the bottom of the email, or by contacting [email protected] Please see our privacy policy for more details.