Good Work - Refer

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Find good work

If you are, or someone you know is, over 18 and either:

unemployed; or
in work and living with a severe mental illness or supported by a community mental health team

– please complete this form to get in touch with our Good Work team.

Not sure whether we can help? Give us a call on 0114 2900 218 or email goodwork@syha.co.uk.

Who is this referral for?

MyselfSomeone else

Referrer Details

Referring organisation

Name of organisation/Relationship to customer

Referrer name

Referrer email

Referral notes

e.g. accessibility needs, risk information

Customer Details

Customer first name

Customer last name

Date of birth

Address line 1

Address line 2

Town/City

Postcode

NHS number (if known)

Preferred method of contact

Phone

Text

Mobile number

Phone number

By clicking 'Submit', I consent to passing my personal information to Good Work which will be used for the purpose of service delivery in accordance with SYHA's privacy policy.

Contact Information