Make a Referral - Healthy Mind Psychology

Make a Referral for Yourself, Your Patient or Your Child

Are you interested in working with Healthy Mind Psychology? Please fill out the form below and tell us how we can help. Case managers and other approved professionals may complete the form to refer a patient with their consent, as well as legal guardians of minors who are seeking help for children under the age of 18.

At Healthy Mind Psychology, we believe that there is no one-size-fits-all approach to mental health and neurorehabilitation treatment. We partner with a team of experienced professionals to provide a different kind of psychology that aids in a holistic approach to patient care. Please include any medical history, current treatment, or other details that would be helpful for us to understand your experience.

A member of our team will contact you within two business days. Please note, we cannot reach out to anyone who has not given explicit permission to be contacted.

Your First Name(Required)

Your Last Name(Required)

Relationship to Patient(Required)

Phone(Required)

Email(Required)

Patient First Name(Required)

Patient Last Name(Required)

Patient Date of Birth(Required)

Patient Diagnosis

General Practitioner Name and Practice

Medical Facility or Psychology Office

Please tell us about about the patient.

Are you seeking any of the following in particular:

Clinical Psychology

Health Psychology

Pain Management Psychology

Neuropsychology

I’m not sure

Please contact me by

Phone

Time of day preference

Attach files or records

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Max. file size: 50 MB.

Name

This field is for validation purposes and should be left unchanged.

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Contact

E: [email protected]
Ph: 07932 978140

Circle Hospital Reading
100 Drake Way
Reading, Berkshire
RG2 0NE

Make a Referral for Yourself, Your Patient or Your Child

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