Your details

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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.

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]


All of your personal information is processed securely in line with data protection regulations. Please read, sign and date the declaration below:

Please note, Wellbeing services are offered as group support only. Although your induction and any subsequent review will be done on a 1-1 basis, the regular support offer of the Wellbeing Service is group support. Our Wellbeing timetable is available on the Mind in Bradford website. Please be aware that this is not a 1-1 or Counselling service.

Full details on how we use your data and keep it safe can be found in our Privacy Policy.

What happens next?

  • Once your registration form has been processed (current waiting time 4-6 weeks) you will receive a call to book a 1:1 induction with a practitioner.
  • The 1:1 induction is a relaxed, informal session to explain the groups and activities we offer. We will ask some questions on what support you feel you need. This is to make sure you are attending the best groups to help support you.
  • The 1:1 induction should last no longer than 30 minutes and can be offered face to face or by telephone
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