This form is for Wirral Children and Young People's Mental Health Services (CYPMHS) - formerly known as CAMHS - and can be used to make a referral for a young person (under the age of 18) who is registered with a GP in Wirral, Merseyside. If the young person is registered with a GP in Cheshire (including Chester and Ellesmere Port), please visit the Cheshire CYPMHS pages for information around how to access services in Cheshire.
By completing this form you are giving your consent to share this information with partner organisations if we believe it is appropriate to do so.