Use this service to submit a routine mental health review.
You can use this service if you:
- are registered at the surgery
- have been invited to do so
Before you start
Call 999 or go to A&E now if:
- someone’s life is at risk – for example they have seriously injured themselves or taken an overdose
- you do not feel you can keep yourself or someone else safe
A mental health emergency should be taken as seriously as a medical emergency. If you are having a mental health crisis or are considering self-harm, please seek help immediately.
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on Moss Grove Surgery (Kingswinford) 01384 277377 or Moss Grove Surgery (Kinver) 01384 277377 or visit the surgery in person.