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York Road Surgery Providing NHS services
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Home > Self Referral

Self Referral

I want to refer myself

Self-Referral forms 

We are providing our patients with a list of services that you can self-refer to without the need to see a GP or Nurse. Please find below information and links to Rotherham Self-Referral Services. 

Ear Care and Audiology 

  • Please complete this self-service request form to replace hearing aid batteries and/or tubing.

Continence Advisory Service 

  • Are you experiencing any problems with incontinence of your bladder or bowel? If so, please complete this self-referral form (which will direct you to the Continence Service). 

Adult Speech and Language Therapy 

  • Speech & Language Therapists help people with swallowing and communication problems including voice difficulties and stammering. Please complete this self-referral form. 

Maternity 

  • Maternity is the care of women and babies during pregnancy, birth and the first weeks after baby is born. Our Maternity Services are provided in the Community, Antenatal Clinic (Greenoaks), Triage, Antenatal Day Unit, Delivery Suite and the Antenatal & Postnatal Ward (Wharncliffe Ward). We have Midwives based both at the Hospital and in Community, in addition to the Continuity of Carer Midwives who work in both settings. If you’ve found out you’re pregnant you can contact us directly without needing to see your GP by completing this self-referral form. 

NHS Talking Therapies 

  • The NHS Rotherham Talking Therapies service offers a range of talking therapies for common mental health difficulties, such as anxiety, depression or stress. If you are 18 or over, experiencing symptoms of these and would like help to manage them, please complete this self-referral form.  

  • If you need urgent help please find more information here

Kooth.com 

  • Kooth.com is an online counselling and support service for all young people and young adults across Rotherham aged 11 to 25. It is a safe, confidential and anonymous way for young people and young adults to access emotional wellbeing and early intervention mental health support. Fully trained BACP Accredited counsellors and emotional wellbeing practitioners are available until 10pm each night, 365 days per year, providing a much needed out-of-hours service for emotional support in an accessible way. Offering personalised support with short waiting lists and no thresholds, users can access: 

  • Live one to one text-based counselling sessions 

  • 24hr messaging service 

  • Clinically approved articles 

  • Peer to peer support through pre moderated discussion forums 

  • A Daily Journal 

  • If you need urgent help please find more information here.

Covid-19 Vaccination

Book or manage your COVID-19 vaccination on the NHS website

Last Updated 19 May 2025

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York Road Surgery

York Road, Rotherham, S65 1PW

  • 01709 836290
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