Sign Up for Services

You can use this form to sign up for support from South Powys Mind.

Whether you’re looking for counselling, wellbeing support, group activities or Green Minds courses, you can tell us as much or as little as you feel comfortable with.

Once we receive your form, a member of the team will be in touch via your preferred contact method to talk through the next steps.

If you’d prefer, you can also download a paper version of the form or ask a professional to refer you.

You can use this form to access:

• Counselling support
• Individual support
• Group activities
• Training courses and workshops

Here is our downloadable application form: BDM Self Referral Form

Please complete the self-referral application form and email it to [email protected]