Get the free The Psychology Clinic at Queen’s Referral Form - queensu

This document serves as a referral form for clients seeking psychological services at Queen's University, covering client information, referral details, and the reason for referral.

How to fill out the psychology clinic at

How to fill out The Psychology Clinic at Queen’s Referral Form

1. Start by obtaining the Referral Form from The Psychology Clinic at Queen's website or by visiting the clinic.
2. Fill in the patient's personal details, including name, date of birth, and contact information.
3. Provide the referral source details, including the name and contact information of the referring person or organization.
4. Specify the reason for referral, including any specific concerns or issues the patient is experiencing.
5. Indicate any previous psychological assessments or treatments that the patient has undergone.
6. Complete any required consent or authorization sections, ensuring the patient acknowledges their understanding of the referral.
7. Review the form for accuracy and completeness before submitting it.
8. Submit the completed Referral Form via email or in person as per the clinic's submission guidelines.

Who needs The Psychology Clinic at Queen’s Referral Form?

1. Individuals experiencing mental health challenges seeking assessment or treatment.
2. Parents or guardians of children requiring psychological support.
3. Healthcare professionals looking to refer patients for psychological services.
4. Students in need of counseling services related to academic or personal issues.

For pdfFiller’s FAQs

What is The Psychology Clinic at Queen’s Referral Form?

The Psychology Clinic at Queen's Referral Form is a document used to refer individuals for psychological services provided by the clinic.

Who is required to file The Psychology Clinic at Queen’s Referral Form?

Mental health professionals, including psychologists and doctors, are typically required to file The Psychology Clinic at Queen's Referral Form on behalf of their patients.

How to fill out The Psychology Clinic at Queen’s Referral Form?

To fill out The Psychology Clinic at Queen's Referral Form, you need to provide essential patient information, describe the presenting issues, and include any relevant medical or psychological history.

What is the purpose of The Psychology Clinic at Queen’s Referral Form?

The purpose of The Psychology Clinic at Queen's Referral Form is to streamline the referral process and ensure that patients receive the appropriate psychological evaluation and treatment.

What information must be reported on The Psychology Clinic at Queen’s Referral Form?

Information that must be reported includes the patient's name, contact information, referral source, clinical history, presenting issues, and any previous treatment received.