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Adults

Refer yourself

Anyone 18 or over can self-refer. You do not need your GP's permission to begin a private assessment.

Children & young people

Refer your child

A parent or legal guardian completes this form on behalf of a child or young person under 18.

GPs & clinicians

Refer a patient

Letter optional. We accept your standard letter by email to info@neurofx.co.uk, or use this form.

Self-referral form

Tell us a little about you.

A few minutes. We don't need clinical detail at this stage; a sentence or two is plenty. Anything sensitive is fine to discuss on the phone instead.

Who is this referral for?
The person being referred
Contact details

Who should we reply to? If you're a parent or clinician, that's you.

What you're looking for
GP details · optional, helpful for shared care later
Replies typically within 4 hours in clinic hours.
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