Get support for myself

Leeds Mind offers free 1-to-1 and group mental health support for young people.
 
Our friendly team all have personal experience of struggling with our mental health, and we talk about our experiences when it is helpful. Lots of young people have told us this helps them to feel safe in sharing what’s going on for them, and stops them from feeling alone.
 
Please give us some information so that we can arrange a chat with one of our team.

If you would like help filling in this form, please call 0113 305 5800 or email youngpeople@leedsmind.org.uk

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* 1. Your full name

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* 2. Your date of birth

Date

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* 3. If you are under 13 years old, please give us your parent/guardian/carer’s name and phone number or email address. This is because we have to ask them if it is okay for you to get support from us.

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* 4. What is the best way to contact you to arrange a chat with one of our team?

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* 5. Your email address or phone number

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* 6. Please tell us about any language or communication needs. This is so that we can get in touch and arrange for you to meet one of the team.

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* 7. Optional: Is there anything else you would like us to know before we get in touch to arrange a 'getting to know each other' chat?

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* 8. Leeds Mind will keep your personal information private. We need you to tell us it's okay to use your personal information to help us give you the right support. You can read our full privacy policy at https://www.leedsmind.org.uk/privacy-policy/client-privacy-policy/. If you would like help to read the policy or have any questions about how Leeds Mind will use your personal information, please call 0113 305 5800 or email youngpeople@leedsmind.org.uk.

It is okay for Leeds Mind to use the information I give for the reasons described in the privacy policy.

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