S117 Mental Health Referral

Any authorised healthcare professional is able to use the Digital Mental Health Referral form to enter the patient data required by the existing paper-based form.

Digital Mental Health Referral

Once signed in, you will be able to click on the “New” button on the right-hand side of the screen which allows you to record a new Referral.

This will present the first page of the Referral for NHS contribution under the Mental Health Act:

Once you have read through the “Information” you can then click on the “Next” button, which will take you to the Patient Details page. Mandatory fields have an *.

Once all Patient details have been recorded click on the “Next” button at the bottom of the page:

This will take you to the “Care Details” page. Mandatory fields have an *.

Once all Care details have been recorded click on the “Next” button at the bottom of the page:

This will take you to the Documents page where you have the ability to upload and attach any supporting documents:

The first time you use the digital Referral form you may have to allow “pop-up blockers” which will appear as an icon in the toolbar of your browser.

Once you have uploaded any documents, click on the “Next” button in the bottom right-hand corner of the screen and you will be taken to the Equality page.

Equality page:

Data from the patient’s details will be used to pre-populate the first two questions on this page. All other fields can be completed.

Click on the “Next button” and this will move you on to the “Submit” page:

Click on the Submit button on the right hand side of the screen to submit the digital Referral form to the ICB.

Once the Referral has been submitted you will be presented with a screen that allows you to click on a button to download a PDF copy of the Referral form.

You will also receive an email confirming that the Referral has been submitted to the ICB that will contain a unique reference number.