LTC Professional Referral form
Please only complete this form if you are a long-term condition health professional making a referral to the Blackpool Healthier Minds team for a patient with a diagnosed long term physical health condition. Alternatively, you can download and complete this form.
If you are a professional but do not meet the above criteria to complete our LTC professional referral form, then please support your client to self-refer online [Self-referral form] or by phone on 01253 955700
