MAKE A REFERRAL

PLEASE NOTE: This referral form is intended for use by Professionals such as GP's, Speech & Language Therapists, Teachers & Mental health Professionals. If you are an individual looking to self refer please do so through the contact us page.

Please complete the details below to make a referral to My Psychology Ireland. A member of our team will respond to both you (the referer) and the individual to confirm that we have received the referral.