At Nightingale Hospital, we can assure you that every enquiry is dealt with in the strictest of confidence by our expert team.

Our new online referrals form is simple to use, safe and private.

  • Patient details

  • Current presentation and reason for referral

  • Risk factors identified

  • Mental Health Act (1983) status

  • Medication

  • Treatment history

  • Payment information

  • Referrer details