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Hertfordshire Mind Network
Hertfordshire Mind Network
Step2Skills Courses Referral Form Get help now Make a donation
  • Home
  • Who we are
    • About Us
    • Our Mission and Values
    • Our strategy
    • Our leadership team
    • Our trustees
    • Annual Review
    • Our partners
  • Services For Adults
    • Areas we cover
    • Crisis Support
      • A&E Crisis Liaison Service
      • Nightlight Crisis Cafes
      • NightLight Crisis Centre
      • NightLight Crisis Helpline
    • Peer Support Service
      • 1:1 Peer Support
      • Peer Learning Courses
      • Peer Mentoring
      • Peer Support Academy
      • Peer Support Groups
    • Carers Support
    • Community Support
      • BBO Strive
      • Community Support Service
      • Complex Housing Needs Service
      • Domestic Abuse Service
      • Flourish – Refugee Service
      • Housing Support Service
      • Primary Care Network Service
      • Stepping Stones
      • Three Rivers Healthy Hub
    • Counselling
      • IAPT Counselling
      • Paid for Counselling
      • Recruitment – Placements
    • Groups and Activities
      • Meeting Places
      • Mums Matter
      • Music Groups
      • Nordic Walking Group
      • Online LGBTQ+ Group
    • Memory support
      • Hertswise Dementia Service
    • Mental Health Information
  • Services for Young People
  • Training
    • Step2Skills Wellbeing Courses
      • Ambassadors of Lived Experience
      • Building Positive Relationships (online course)
      • Building Resilience
      • Building Self-esteem
      • Daring to Dream (online course)
      • Introduction to Wellbeing
      • Learning to Accept Change and Uncertainty (online course)
      • Mental Health & Work
      • Mindfulness and Relaxation
      • Overcoming Anxiety and Fear
      • Overcoming Social Anxiety (online course)
      • Self-Compassion for Male Carers
      • Sleeping Well
      • Understanding Anger and Other Emotions
      • Understanding Low Mood & Depression (online course)
      • Understanding Self-Compassion
    • Mental Health Training
      • An Introduction to Mindfulness & Relaxation
      • Building Emotional Resilience
      • Building Self-esteem
      • Common Mental Health Conditions
      • Hoarding and Mental Health
      • Mental Health Awareness & Resilience Training
      • Mental Health and Learning Disabilities
      • Mental Health and Medication
      • Mental Health in the Workplace
      • Mindfulness & Relaxation
      • Overcoming Anxiety and Fear
      • Promoting Positive Wellbeing
      • Stress Management
      • Supporting an Individual in Crisis
      • Suicide Awareness (Spot the Signs)
      • Understanding Autism and Practical Support Training
  • Support us
    • Donate to us
    • Fundraising
      • Community Fundraising
      • Corporate Fundraising
      • Fundraise whilst you shop
      • Legacy Giving
    • Fundraise for us
      • Our Fundraisers
    • Thank you to all those who donated
    • Fundraising ideas and resources
    • Fundraising case studies
      • Jog On – Berkhamsted
      • Nordic Walking Watford – Case Study
  • Join us
    • Work for us
      • Children & Young People Coordinator
      • Children & Young People Training & Workshop Coordinator
      • Children & Young People Group Facilitator
      • Children & Young People Services Manager
      • Children & Young People Support Worker
      • Fundraising Manager
      • Group Facilitator – Flourish – Refugee Service
      • Hertswise Locality Team Leader
      • Peer Support Worker
      • Wellbeing Access Worker
      • Wellbeing Connector
    • Volunteer with us
    • Volunteering opportunities
      • Admin Volunteer
      • Carers Group Admin Volunteer
      • Carers Peer Support Volunteer
      • Community Support Service Volunteer
      • Counselling Chaperone
      • Counselling placements
      • Driver Volunteer
      • Gardener Volunteer
      • Group Volunteer
      • Light Touch Volunteer
      • Memory Support Volunteer
      • NightLight Volunteer
      • Peer Mentor
      • Peer Support Volunteer
      • Peer Mentor (Hertswise)
  • Latest
  • Contact Us

Hertfordshire Mind Network Referral Form

Please complete this form if you would like to access our services and we will contact you to discuss next steps. Please provide as much information as possible.

Your Details

Please complete this section carefully. Supporting you to access the right services is very important to us but it isn't always easy to make contact, so listing as many contact options as possible will help us to help you more quickly.

Contact method

GP Surgery

Employment information

Further information

Details of referrer

(if completing the form on behalf of someone else)

Equal Opportunities and Disability Monitoring

Data Protection and Confidentiality

Hertfordshire Mind Network adheres to the Data Protection Act 2018’s principles of good information handling and the EU General Data Protection Regulation 2018.
 

Please indicate below if you consent to us collecting, recording and processing your personal data for the purpose of providing you with support and to ensure your health, safety and wellbeing. We will use your information appropriately and in line with our Privacy Policy which you can see here: Privacy Policy
 

Your details will not be shared with anyone else without your consent. If you have any concerns or questions about how your personal data is collected and used, please ring us on 02037 273600 or email us at [email protected]. Please note that without your consent, you will not be able to submit this form and access Hertfordshire Mind Network’s services.
 

Where information is given in confidence that Hertfordshire Mind Network believes poses a risk to the client, a risk to other people, a risk to the safety and welfare of a child, or is against the law, we reserve the right to disclose that information to a relevant third party.

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Step2Skills Courses Referral Form Get help now Make a donation
  • Home
  • Who we are
    • About Us
    • Our Mission and Values
    • Our strategy
    • Our leadership team
    • Our trustees
    • Annual Review
    • Our partners
  • Services For Adults
    • Areas we cover
    • Crisis Support
      • A&E Crisis Liaison Service
      • Nightlight Crisis Cafes
      • NightLight Crisis Centre
      • NightLight Crisis Helpline
    • Peer Support Service
      • 1:1 Peer Support
      • Peer Learning Courses
      • Peer Mentoring
      • Peer Support Academy
      • Peer Support Groups
    • Carers Support
    • Community Support
      • BBO Strive
      • Community Support Service
      • Complex Housing Needs Service
      • Domestic Abuse Service
      • Flourish – Refugee Service
      • Housing Support Service
      • Primary Care Network Service
      • Stepping Stones
      • Three Rivers Healthy Hub
    • Counselling
      • IAPT Counselling
      • Paid for Counselling
      • Recruitment – Placements
    • Groups and Activities
      • Meeting Places
      • Mums Matter
      • Music Groups
      • Nordic Walking Group
      • Online LGBTQ+ Group
    • Memory support
      • Hertswise Dementia Service
    • Mental Health Information
  • Services for Young People
  • Training
    • Step2Skills Wellbeing Courses
      • Ambassadors of Lived Experience
      • Building Positive Relationships (online course)
      • Building Resilience
      • Building Self-esteem
      • Daring to Dream (online course)
      • Introduction to Wellbeing
      • Learning to Accept Change and Uncertainty (online course)
      • Mental Health & Work
      • Mindfulness and Relaxation
      • Overcoming Anxiety and Fear
      • Overcoming Social Anxiety (online course)
      • Self-Compassion for Male Carers
      • Sleeping Well
      • Understanding Anger and Other Emotions
      • Understanding Low Mood & Depression (online course)
      • Understanding Self-Compassion
    • Mental Health Training
      • An Introduction to Mindfulness & Relaxation
      • Building Emotional Resilience
      • Building Self-esteem
      • Common Mental Health Conditions
      • Hoarding and Mental Health
      • Mental Health Awareness & Resilience Training
      • Mental Health and Learning Disabilities
      • Mental Health and Medication
      • Mental Health in the Workplace
      • Mindfulness & Relaxation
      • Overcoming Anxiety and Fear
      • Promoting Positive Wellbeing
      • Stress Management
      • Supporting an Individual in Crisis
      • Suicide Awareness (Spot the Signs)
      • Understanding Autism and Practical Support Training
  • Support us
    • Donate to us
    • Fundraising
      • Community Fundraising
      • Corporate Fundraising
      • Fundraise whilst you shop
      • Legacy Giving
    • Fundraise for us
      • Our Fundraisers
    • Thank you to all those who donated
    • Fundraising ideas and resources
    • Fundraising case studies
      • Jog On – Berkhamsted
      • Nordic Walking Watford – Case Study
  • Join us
    • Work for us
      • Children & Young People Coordinator
      • Children & Young People Training & Workshop Coordinator
      • Children & Young People Group Facilitator
      • Children & Young People Services Manager
      • Children & Young People Support Worker
      • Fundraising Manager
      • Group Facilitator – Flourish – Refugee Service
      • Hertswise Locality Team Leader
      • Peer Support Worker
      • Wellbeing Access Worker
      • Wellbeing Connector
    • Volunteer with us
    • Volunteering opportunities
      • Admin Volunteer
      • Carers Group Admin Volunteer
      • Carers Peer Support Volunteer
      • Community Support Service Volunteer
      • Counselling Chaperone
      • Counselling placements
      • Driver Volunteer
      • Gardener Volunteer
      • Group Volunteer
      • Light Touch Volunteer
      • Memory Support Volunteer
      • NightLight Volunteer
      • Peer Mentor
      • Peer Support Volunteer
      • Peer Mentor (Hertswise)
  • Latest
  • Contact Us
Herts Mind Network

The Wellbeing Centre
139 Leighton Buzzard Road
Hemel Hempstead
Hertfordshire
HP1 1HN 

020 3727 3600
[email protected]

Website Design © 2022 C27 Media Ltd


Thank you to my donors

Hertsmere Borough Council

Amount Donated
£25

Derek Grey

Amount Donated
£50

Tom Sparks

Amount Donated
£15

Derek Grey

Amount Donated
£50

Angela Morgan

In loving memory of Carol Kleiner from … Read More

In loving memory of Carol Kleiner from Angie, Colin, Lisa & Jamie Morgan

Amount Donated
£50

Ellen Charge

Amount Donated
£25

Beatrice Waweru

Amount Donated
£10

Jeremy Howells

Carol Kleiner was like a 2nd mum to me … Read More

Carol Kleiner was like a 2nd mum to me growing up. She's my mums best friend, essentially family. She was an amazing woman who helped so many people. I always knew she worked for MIND, but never really asked her about her work, and for that I am disappointed in myself. Hopefully this goes some way to saying goodbye to Carol and helping her work continue. Love you Carol... Jem, Rach, Thea & Lily

Amount Donated
£50

Jackie Robb

This donation is made in memory of our … Read More

This donation is made in memory of our lovely friend Carol Kleiner who volunteered and then worked at Mind in Hemel Hempstead for 20 years. We have known her for over 40 years and are going to miss her very much but feel lucky that we had her in our lives.. she’s was an incredible person full of life and love. So this donation is made with the same love from her Wellcome friends xxxx

Amount Donated
£101

Sharon Howells

In memory of my best friend Carol … Read More

In memory of my best friend Carol Kleiner who worked hard for your organisation , never forgotten 💔

Amount Donated
£50

Michelle Carter

Amount Donated
£104

Kerry Starling

The work the local Mind charity do is … Read More

The work the local Mind charity do is amazing and a great Charity to support

Amount Donated
£500

Malcolm Brewer

Amount Donated
£50

Jon Brewer

Amount Donated
£50

Euan Macdonald

Amount Donated
£25

Gwendoline Grimsdale

Amount Donated
£25

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Reclaim Gift Aid

Gift Aid It!Add 25% more to your donation at no cost to you. A Gift Aid declaration allows Hertfordshire Mind Network to claim tax back on eligible donations. It means that for every £1 you donate to Hertfordshire Mind Network we can claim back 25p, at no extra cost to you.

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By ticking the "Yes" box, I agree I would like Hertfordshire Mind Network to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year I may be asked to pay any difference. I understand that Hertfordshire Mind Network will reclaim 25p of tax on every £1 that I give.

What is Gift Aid?

Gift Aid does not cost you a penny more, but can add an additional 25p to every £1 you donate. When Hertfordshire Mind Network receives a donation from a UK taxpayer, we're entitled to claim an amount of tax (calculated at the basic rate of income tax in that year) paid on that donation. Once you have given your permission for us to do this on your behalf, there is no need for you to do anything else.

All that is required is that you must be a taxpayer and that would have paid or will pay sufficient Income and/or Capital Gains Tax to cover all the Gift Aid claimed on all your donations in that tax year. Please note that it is your responsibility to pay any difference.

The amount of tax we claim will be 25% of the total value of your donations in that tax year. Furthermore, if you are a higher taxpayer, you are also entitled to claim the difference between the basic rate which we will claim and the amount of tax you have actually paid. For further details on how you can do this, please contact your tax office. If your tax situation changes and your gifts will no longer be eligible for the Gift Aid scheme please contact us and we will amend your record accordingly.

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Donation Total: £25.00 One Time

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Our Services

To see the services that are available to you in your local area please click on the Centre that is closest to your location.
 

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Training

We develop and deliver high quality training services to voluntary, statutory and private sector organisations locally (and nationally) with a focus on mental health and wellbeing.

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Our Funders

Contact Us

Herts Mind Network

The Wellbeing Centre
139 Leighton Buzzard Road
Hemel Hempstead
Hertfordshire
HP1 1HN 

020 3727 3600
[email protected]

Terms

  • Privacy Policy
  • Cookie Policy
  • Accessibility Statement
  • Terms and Conditions
  • Complaints Procedure
  • How we use your information

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© 2022 Herts Mind Network
Registered in England 5532977
Charity No. 1112487

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