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Hertfordshire Mind Network
Hertfordshire Mind Network
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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 give as much information as possible.

Your Details

Name *
Please tick all the ways that we can use to contact you? *
Is it OK for us to leave a message on your mobile?
Do you need an interpreter?

Emergency contact details

In the event of an emergency, who would you like us to contact?

GP Surgery

Employment information

Employment information *

Housing status

Are you homeless, in temporary accommodation, or facing eviction? *
Housing status *

Hospital admission

Have you been discharged from Watford A and E, Lister A&E, Kingfisher Court or Albany Lodge within the last 7 days? *

One to One Services

Which 1:1 service would you like to access? (If you are unsure of which service you would like to access, please call 0203 727 3600 Mon to Fri 9am - 5pm to discuss) *

If you would like to access counselling, please visit our counselling section and find out how to refer to these services

Groups

If you would like to attend groups and activities, which one(s) interest you? *

Further information

How did you hear about us?

Details of referrer

(if completing the form on behalf of someone else)

Are you a professional completing this form on behalf of someone?

Equal Opportunities and Disability Monitoring

Age Group *
Gender *
Religion/ faith *
Sexual orientation *
Disability: Are your day-to-day activities limited because of a health problem or disability which has lasted or expecting to last for at least 12 months? *
Ethnicity *
Relationship status
Caring responsibilities
Autism
ADHD

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 info@hertfordshiremind.org. 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.

Do 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? *
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  • Home
  • Who we are
    • About us
    • Our vision, purpose and values
    • Our impact
    • Our Leadership Team
    • Our Trustees
  • For Adults
    • Search for Services for Adults

      Filter all our services to find the services that might be right for you.

    • the photo shows a desk inside containing a laptop computerMental Health Information

      When you’re living with a mental health problem, or supporting someone who is, having access to the right information about a condition, treatment options, or practical issues, is vital.

    • Crisis Support
      • Nightlight Crisis Helpline
      • Nightlight Crisis Cafés
      • Nightlight Crisis House
      • A and E Crisis Liaison Service
    • Community Support
      • Bounce Back
      • Community Support Service
      • Complex Needs Housing Service
      • Domestic Abuse Service
      • Flourish – Refugee and Asylum Seeker Service
      • Growing People
      • Housing Support Service
      • Primary Care Network Service
      • Social Support
    • Peer Support Service
      • 1:1 Peer Support
      • Peer Learning Courses
      • Peer Mentoring
      • Peer Support Academy
      • Peer Support Groups
      • Carers Support
    • Employment
      • Employment Support
      • Care Leavers Employment Support
    • Counselling
      • NHS Talking Therapies – Counselling
      • Talk It Out Counselling
      • Talk it Out Counselling Payment Form
      • Counselling Placements
    • Groups and Activities
      • Decluttering Peer Support Group
      • LGBTQ+ Group
      • Meeting Places
      • Mums Matter
      • Music Groups
      • Online Carers Group
      • Online Meeting Places
  • For Young People
  • Training
  • Support us
    • the photo shows four piles of coins on top of soil, with green plants emerging from the top of the coinsDonate to us

      Your donation will make a real difference to the lives of people experiencing mental ill health in Hertfordshire.

    • Thank you to all those who donated

      A huge thank you to all our donors, your support is changing the lives of people in our community.

    • Fundraise for your local Mind
      • Fundraise for us
      • Fundraising ideas and resources
      • Legacy Giving
      • Give a Car
    • Corporate Fundraising
      • Mindful Partners
      • Corporate Volunteering
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      • Helping Herts Events
      • Firewalk
      • Watford Half Marathon 2027
  • Join us
    • Work for us
      • Community Outreach Worker (CSS Housing)
      • Community Outreach Worker (Complex Needs Housing)
      • Community Outreach Worker (CSS)
      • Community Support Worker (PCN)
      • Horticultural Therapist (The Sadie Centre)
      • Student Placement (unpaid)
    • Volunteer with us
      • Carers Peer Support Volunteer
      • CYP ‘Future Youth’ Mentor
      • Gardening Volunteer (The Sadie Centre)
      • Group Volunteer
      • Nightlight Volunteer
      • Peer Mentoring Volunteer
    • Care Leavers Employment Support
    • Board of Trustees
  • Get Involved
    • Client Engagement and Involvement
      • Your Stories
      • Share Your Feedback
      • You said, We did
      • Events Volunteer
    • Community Engagement
  • Latest
  • Contact us
Please enable JavaScript in your browser to complete this form.

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 give as much information as possible.

Your Details

Name *
Please tick all the ways that we can use to contact you? *
Is it OK for us to leave a message on your mobile?
Do you need an interpreter?

Emergency contact details

In the event of an emergency, who would you like us to contact?

GP Surgery

Employment information

Employment information *

Housing status

Are you homeless, in temporary accommodation, or facing eviction? *
Housing status *

Hospital admission

Have you been discharged from Watford A and E, Lister A&E, Kingfisher Court or Albany Lodge within the last 7 days? *

One to One Services

Which 1:1 service would you like to access? (If you are unsure of which service you would like to access, please call 0203 727 3600 Mon to Fri 9am - 5pm to discuss) *

If you would like to access counselling, please visit our counselling section and find out how to refer to these services

Groups

If you would like to attend groups and activities, which one(s) interest you? *

Further information

How did you hear about us?

Details of referrer

(if completing the form on behalf of someone else)

Are you a professional completing this form on behalf of someone?

Equal Opportunities and Disability Monitoring

Age Group *
Gender *
Religion/ faith *
Sexual orientation *
Disability: Are your day-to-day activities limited because of a health problem or disability which has lasted or expecting to last for at least 12 months? *
Ethnicity *
Relationship status
Caring responsibilities
Autism
ADHD

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 info@hertfordshiremind.org. 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.

Do 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? *
Loading
Get help now Donate

Search our site

  • Home
  • Who we are
    • About us
    • Our vision, purpose and values
    • Our impact
    • Our Leadership Team
    • Our Trustees
  • For Adults
    • Search for Services for Adults

      Filter all our services to find the services that might be right for you.

    • the photo shows a desk inside containing a laptop computerMental Health Information

      When you’re living with a mental health problem, or supporting someone who is, having access to the right information about a condition, treatment options, or practical issues, is vital.

    • Crisis Support
      • Nightlight Crisis Helpline
      • Nightlight Crisis Cafés
      • Nightlight Crisis House
      • A and E Crisis Liaison Service
    • Community Support
      • Bounce Back
      • Community Support Service
      • Complex Needs Housing Service
      • Domestic Abuse Service
      • Flourish – Refugee and Asylum Seeker Service
      • Growing People
      • Housing Support Service
      • Primary Care Network Service
      • Social Support
    • Peer Support Service
      • 1:1 Peer Support
      • Peer Learning Courses
      • Peer Mentoring
      • Peer Support Academy
      • Peer Support Groups
      • Carers Support
    • Employment
      • Employment Support
      • Care Leavers Employment Support
    • Counselling
      • NHS Talking Therapies – Counselling
      • Talk It Out Counselling
      • Talk it Out Counselling Payment Form
      • Counselling Placements
    • Groups and Activities
      • Decluttering Peer Support Group
      • LGBTQ+ Group
      • Meeting Places
      • Mums Matter
      • Music Groups
      • Online Carers Group
      • Online Meeting Places
  • For Young People
  • Training
  • Support us
    • the photo shows four piles of coins on top of soil, with green plants emerging from the top of the coinsDonate to us

      Your donation will make a real difference to the lives of people experiencing mental ill health in Hertfordshire.

    • Thank you to all those who donated

      A huge thank you to all our donors, your support is changing the lives of people in our community.

    • Fundraise for your local Mind
      • Fundraise for us
      • Fundraising ideas and resources
      • Legacy Giving
      • Give a Car
    • Corporate Fundraising
      • Mindful Partners
      • Corporate Volunteering
    • Our Events
      • Community Events
      • Helping Herts Events
      • Firewalk
      • Watford Half Marathon 2027
  • Join us
    • Work for us
      • Community Outreach Worker (CSS Housing)
      • Community Outreach Worker (Complex Needs Housing)
      • Community Outreach Worker (CSS)
      • Community Support Worker (PCN)
      • Horticultural Therapist (The Sadie Centre)
      • Student Placement (unpaid)
    • Volunteer with us
      • Carers Peer Support Volunteer
      • CYP ‘Future Youth’ Mentor
      • Gardening Volunteer (The Sadie Centre)
      • Group Volunteer
      • Nightlight Volunteer
      • Peer Mentoring Volunteer
    • Care Leavers Employment Support
    • Board of Trustees
  • Get Involved
    • Client Engagement and Involvement
      • Your Stories
      • Share Your Feedback
      • You said, We did
      • Events Volunteer
    • Community Engagement
  • Latest
  • Contact us

Herts Mind Network

The Wellbeing Centre
501 St Albans Road
Watford
Hertfordshire WD24 7RZ

020 3727 3600
info@hertfordshiremind.org

Charity Number: 1112487
Registration Number: 5532977

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Corporate Fundraising

Receiving cheque from Keith Ian Estate Agents

Is your company looking to support a charity that improves the lives of local people?

Hertfordshire Mind Network provides vital mental health services to people across the county.  We work with companies across Hertfordshire in many different ways including providing lunch and learn sessions, mental health workshops and offering fundraising opportunities.

By choosing to fundraise for us, we can also help you to fulfil your ESG (Environmental, Social and Governance) goals, engage your employees and raise awareness of mental health.

Fundraising activities and events

From cake sales to dress down days at the office, taking a sporting challenge or organising a golf day for employees and clients – could your company host a fundraising activity or event for Hertfordshire Mind Network?

Recent fundraising activities have included a sponsored skydive, kayaking down the River Thames and a Pub Quiz! We encourage you to think creatively about fundraising opportunities – the sky’s the limit!

You will be supported throughout your fundraising efforts by our Fundraising & Engagement Manager and we can provide you with material to promote our vital services for local people experiencing mental ill health. 

 

youtube placeholder image

 

At dormakaba, we were delighted to collaborate with Hertfordshire Mind Network to raise awareness about the importance of mental wellbeing. The insightful and enlightening talks and training provided have been immensely beneficial to our company, and we are grateful for the opportunity to work together.

– Darran Hannon, Marketing Executive, dormakaba

Charity Partner

By choosing Hertfordshire Mind Network as your Charity Partner you can help to support people with mental ill health across Hertfordshire. Whatever the size of your company or organisation, we would love to hear from you!  With your support, we can promote better mental health and improve the communities in which we all live. 

We understand that there is no ‘one size fits all’ with our Charity Partnerships, and we want to work with you to create a bespoke experience for you.  Below are some of the fundraising, volunteering and awareness support tools we offer to companies and organisations:

  • Promotion of fundraising activities on our social media channels
  • Fundraising materials such as collection boxes, wristbands and t-shirts
  • Fundraising ideas and tips
  • Ability to create a fundraising page on our website
  • Mental health awareness sessions
  • Workplace Wellbeing sessions
  • Mental health information e.g. leaflets on our services

Along with supporting a local charity, partnering with Hertfordshire Mind Network will help you to meet your corporate and social responsibility needs. Your business or organisation can show support for the local community – boosting goodwill amongst customers, helping to promote your company and motivating your workforce.  Organising fundraising activities within your company can galvanise your staff, enabling them to work together as a team in organising and running fundraising activities for a great cause.

Our staff fundraising work ties in with our Five Ways to Wellbeing programme, encouraging staff to give back to the local community as a component of their own wellbeing.

Contact us today

Please do get in touch with us on 02037 273600 or e-mail fundraising@hertsmindnetwork.org if you would like to talk to us about how we could work together.

Please enable JavaScript in your browser to complete this form.
Please tick this box to confirm that you give consent for us to process and store your data in line with our Privacy Policy. You will find a link to our Privacy Policy at the bottom of our page. *

Contact Us

Herts Mind Network

The Wellbeing Centre
501 St Albans Road
Watford
Hertfordshire WD24 7RZ

020 3727 3600
info@hertfordshiremind.org

Terms

  • Privacy Policy
  • Young Person’s Privacy Policy
  • Cookie Policy
  • Accessibility Statement
  • Terms and Conditions
  • Complaints Procedure
  • Safeguarding Statement

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© 2026 Herts Mind Network
Registered in England and Wales 5532977
Charity No. 1112487

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Logo to show that we are registered with the Fundraising Regulator
  • Mind Theme © 2026 C27 Media Ltd

Fundraise

Please enable JavaScript in your browser to complete this form.

Your Fundraising Campaign

Please enter as much information as possible. Once submitted it will be reviewed by a member of our fundraising team and we will email you a link to your fundraising page within 72 hours.

Your Name *
This will be used to notify you when your donation form goes live - we will send you a link to your fundraising page.
This will be the name of your page - if you are taking part as a group this can be a team name or your own personal page if you prefer. If you choose to register as a team - there will be only one point of contact.
The amount of funds you want to raise
If you’d like to fundraise for one of our campaigns, please select it from the list.
Choose Fundraise Your Way to start a general fundraising campaign for Herts Mind Network.
Drag & Drop Files, Choose Files to Upload
Please upload an image for your campaign. Must be minimum 600x600 pixels. File formats: jpg, jpeg, png
Example:
Paragraph 1: Who you are
Paragraph 2: Why you are passionate about Herts Mind Network
Paragraph 3: Why others should also support us.
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