This form is for Cheshire 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 Cheshire East or Cheshire West and Chester. If the young person is registered with a GP in Wirral, please visit the Wirral CYPMHS page for information around how to access services in Wirral.
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.