Brighton & Hove LGBT Switchboard logo
    • Who We Are
    • Our Team
    • Our Trustees
    • Our Lived Experience Advisory Board
    • Governance
    • Contact Us
    • Job Opportunities
    • BOLD Bereavement, Older people, Loneliness and Dementia
    • Domestic Abuse Specialist domestic abuse support
    • Rainbow Neighbours Befriending and social connection
    • Recover with Pride Gambling harm recovery support
    • Sexual Harms Support for people affected by sexual harm
    • TNBI Social Prescribing Wellbeing support for trans, non-binary and intersex people
    • National Support Line Phone and webchat support by National Line (external)
    • Our Training
    • 90-Minute LGBTQ+ Inclusion Session
    • Half-Day LGBTQ+ Inclusion Workshop
    • Full-Day LGBTQ+ Inclusion Training
    • Gambling Harms Training
    • Book Training
  • Volunteer with us
  • News
  • Donate
Donate

Home Ā» BOLD Referral Form

This field is for validation purposes and should be left unchanged.
Are you completing this form for yourself or for someone else?

Who is being referred?

Name (does not have to be legal name)(Required)
E.g. She, He, They, Ze etc.
Does your gender identity match that assigned gender at birth?
Please specify
Preferred method of contact? (Select all that apply)(Required)
Select all that apply
Address(Required)
Any disabilities?
What can we support you with?
Brighton & Hove LGBT Switchboard is part funded through the UOK Mental Health partnership. As part of that funding we are tasked with measuring the impact of our services on client's mental health and wellbeing. If you are able to answer a few questions it would help us to know what support you need and also help secure continued funding for our services.
Are you able to answer a few wellbeing/mental health questions?
How satisfied are you with your mental health?
How satisfied are you with your physical health?
How satisfied are you with your job situation (including if you are retired or not working)?
How satisfied are you with your accommodation?
How satisfied are you with your leisure activities?
How satisfied are you with your relationships with your partner / family (Including chosen family)?
How satisfied are you with your friendships?
How satisfied are you with your personal safety?
How satisfied are you with your medication? (This could include the fact that you are not on medication you need, or you don't take any medication)
How satisfied are you with the practical help you receive?
How satisfied are you with your meetings with mental health professionals? (Including if you don't use them, or need them but cannot)
Do you currently gamble, or have you gambled in the past?
This includes games of chance like bingo, scratchcards, and the lottery.
For example, sports betting, casino or slot machines, lottery, online gambling, bingo, card games, or any others
Have you ever experienced harm due to your own gambling, or due to someone else’s gambling?
How did you hear about this service?
Would you like to receive our monthly BOLD (Bereavement, Older People, and Dementia) email Newsletter?
Would you like to be added to our announcement only WhatsApp group where we post last minute updates and other useful information?
Would you like to be added to our Members-only WhatsApp CHAT group where you can chat with other members?
Consent(Required)
How we use your information
We collect your personal information so we can provide you with support, keep you safe, and contact you about your appointments or activities. We only collect information that is necessary for our services.

How your information is stored and shared
Your information is stored securely and only accessed by authorised staff. We do not share your information with anyone outside Brighton & Hove LGBT Switchboard unless:
• you give us permission, or
• we are legally required to do so, or
• we believe there is a risk of serious harm.

Your rights
You can ask to see the information we hold about you, request corrections, withdraw consent, or ask us to delete your data (where legally possible). You can do this at any time by contacting us in writing.

Contact Us

Brighton & Hove LGBT Switchboard
Community Base
113 Queens Road
Brighton
East Sussex
BN1 3XG

Admin & Information: 01273 234009
info@switchboard.org.uk

Services

  • Recover with Pride
  • LGBTQ+ Inclusion Award
  • Domestic Abuse
  • BOLD
  • TNBI Social Prescribing Service
  • Sexual Harms

Company

  • Governance
  • Jobs
  • Volunteering with us
  • How we are managed
  • Our Trustees
  • Who we are
  • Contact us
  • Our LEAB

Legal

  • Privacy & Cookies

Follow us

Facebook
Instagram
LinkedIn
YouTube
BlueSky
Brighton & Hove LGBT Switchboard
Dots Vectors by Vecteezy
Reg Company No 03920445 | Charity No 1088133 | All Rights ReservedĀ 

Designed and developed by Sea Brand