Confidential Patient Information
Fill out your details below (
*
compulsory fields)
Title
*
:
Mr
Mrs
Ms
Miss
Dr
First Name
*
:
Surname
*
:
Address
*
:
Postcode
*
:
Date of Birth
*
:
Contact number
*
:
Email
*
:
Do you have private hospital cover?
*
Yes
No
Name of Fund
*
:
Membership No
*
:
Comments:
Please type the characters
you see in the picture
General Psychiatry
Anxiety Disorders
Attention Deficit Disorder (ADHD)
Bipolar Disorder
Chronic Pain
Depression
Fibromyalgia
Hospital Programs
Acceptance & Commitment
Mindfulness Program
Fibromyalgia Treatment Program
Addictive Behaviours Groups
Dialectical Behaviour Therapy
Information Night
Sleep Clinic
Sleep Disorders Symptoms
Sleep Disorders Causes
Sleep Disorders Types
Sleep Disorders Treatment
Memory Clinic
Memory & Its Functions
Memory Treatment Programs
Memory Enhancement
Research Update
Breaking News
New Antidepressant Study
Effect of Fish Oil on the Brain
News
Alcohol Dependence
Anxiety
Chronic Pain
rEEG
Home
Our Philosophy
Our Clinic
Our Doctors
Assessment
Psychiatric Interview
EEG
rEEG
QEEG
Neuro-Cognitive
Neuro-Psychological
MediSleep
Treatment
Individual Therapy
Group Therapy
Psychotherapy
CES
Brain Training Exercises
Light Therapy
Audio Visual Entrainment
MedicoLegal
Contact Us
FAQ
