REFERRAL TO PENTREATH

Promoting good mental health
through personal development, education and employment

Please answer as many questions as you can so we can select the best service for your support. If you feel uncomfortable with a question then skip it and do not worry about it.

Your Personal Details

Yes No
We are working towards being a zero net carbon organisation and our preferred method of communication to acknowledge your referral will be via email. If you do not have access to email we will send you a letter confirming receipt of your referral.

About You

/ /
Yes No
  • Yes
  • No
  • Not sure

Supporting you and your requirements

  • Employment
  • Education
  • Training
  • Volunteering
  • Social/Recreational Groups
  • Something else
Yes No

Your Referral

  • I am referring myself
  • Referral on behalf of someone else with their permission

Pentreath is the Data Controller for this information and it will be processed under the ?legitimate interests? basis to provide the service you are requesting. Your information will be retained after delivery for a limited time to meet auditing and funding purposes. If you have any questions please contact Pentreath.

Once we have received your referral:

  1. We will read your referral and make sure we are the right service for you. If we do not feel we can help you, we will give you some details of other places that might be able to
  2. We will make contact informing you that we have received your referral and how long the waiting list (if any) for the project you have been assigned to. We will do this within 4 weeks.