Community bereavement support self-referral form

Marie Curie Newcastle Community Bereavement Support Service is designed to meet the needs of bereaved people in the community who have lost someone due to coronavirus, or whose grief process has been impacted by coronavirus.

Our aim is to offer emotional support and counselling, via one-to-one telephone and one-to-one virtual appointments via Microsoft Teams. 

Please fill in the form below if you would like to refer yourself to the Community Bereavement Support Service (if you are a professional that would like to refer someone else to the service please fill in this form instead).

Please note that due to current restrictions our bereavement support service is provided by telephone or virtual consultations through Microsoft Teams. Both individual and group support is available. 

You can use this service if you're: 

  • an adult (over the age of 18) who has been affected by a death caused by or impacted by coronavirus

  • able to access telephone or online support

  • able to engage with the therapeutic process.

Unfortunately we are not able to work with: 

  • adults with substance misuse or alcohol dependency issues 

  • those presenting as a risk either to themselves or others 

  • those who are already receiving psychological therapy from another service.

  • Monthly emotional support sessions delivered by trained, supervised bereavement volunteers

  • Up to 50 minutes is available for each bereavement support session
  • Depending on complexity/level of need, some counselling is also available

  • Please note that in current circumstances all support is delivered via telephone or Teams online.

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