GP Referral

You can call us on: 01 524 1210
You can fax us on: 01 685 4464
Or you can use the form on the right

We currently offer face to face therapy in most major towns throughout Ireland. We also offer distance therapy (therapy delivered over the phone or over Skype).

When you refer a client, we will arrange for one our experienced therapists to see your client. You can chose to be notified when an appointment is set up. If you have any questions, please don’t hesitate to call us on 01 524 1210.

All of our counsellors and therapists are accredited to either the IACP or BACP. All of our psychologists are accredited with either the PSI or BPS.

GP Details:

GP Name

GP Email (this is never passed on to the patient or the therapist)

Client Details:

Client Name

Client Phone Number

Client Email:

Therapy Type:

Maximum rate per session:

Please provide a brief summary of the Client's issue:

Does the client have any preferences for when they can or can't schedule therapy?

 I, the Client accept the MyndServ Terms and Conditions and Privacy Policy (available below)

 I, the Client want my GP to be informed when therapy is arranged

MyndServ Terms and Conditions
MyndServ Privacy Policy