Referral for Psychotherapy at Paris Mind Clinic
At Paris Mind Clinic, we partner with physicians and nurse practitioners to make the referral process for psychotherapy services in Ontario simple and efficient. To facilitate a smooth experience, we offer a downloadable referral form that captures all necessary information, helping us provide prompt and effective mental health support. Alternatively, physicians may use their own office’s referral form if preferred.
Instructions for Completing the Psychotherapy Referral Form
For referring professionals (physicians and nurse practitioners):
- Download the Referral Form: Click here to download the referral form if you choose to use our clinic’s form.
- Complete and Sign: Fill in the necessary details such as the patient’s name, date of birth, health card number, and your contact information. Specify the reason for consultation by selecting appropriate options like Depression, Anxiety, PTSD, etc., or provide a DSM-5 diagnosis for other conditions.
- Sign and Submit: After completing the form, please sign it to confirm the referral, and choose to either fax it to 647-493-2584 or email it to info@parismindclinic.ca.
Note for Referring Professionals: You may use the referral form provided by our clinic or your own standardized form. We accept both to accommodate your workflow preferences.
Important for Patients: Please note that this form must be completed and signed by your physician or nurse practitioner. Discuss your needs and this referral process with your healthcare provider.
Why Refer Patients to Paris Mind Clinic?
Paris Mind Clinic offers a variety of psychotherapy services aimed at addressing a wide range of mental health issues such as anxiety, depression, mood disorders, and more, through evidence-based therapeutic practices. Referring your patients to our clinic ensures they receive tailored, compassionate, and high-quality care.
Learn more about our psychotherapy services here at Paris Mind Clinic.
Frequently Asked Questions
- Can patients fill out the referral form themselves?
No, the referral form must be completed and signed by a licensed physician or nurse practitioner. - What conditions can be referred using the form?
The form facilitates referrals for conditions such as Depression, Anxiety, PTSD, Mood Disorders, among others. Please specify any additional conditions using DSM-5 guidelines. - How should the completed referral form be submitted?
Completed forms can be faxed to us at 647-493-2584 or emailed to info@parismindclinic.ca.
Contact Us
For any questions about the referral process or our psychotherapy services, please contact Paris Mind Clinic at 905-818-8377 or via email at info@parismindclinic.ca. We are here to assist you in ensuring the best possible care for your patients.






