Contact us Your name (required) Your email address (required) NB. Make sure this is correct as I will write back to you via email. Your age (required) NB. This is to confirm that you are an adult. Your enquiry (required) Name of your referer and his/her organisation (if any) Are you seeing a doctor? (required) NoYes, I am seeing a psychiatrist.Yes, but not a psychiatrist. Δ We intend to respond to your enquiry within a few days. If for any reason you don’t hear from us, please contact us via e-mail with all relevant information.We will need a referral letter from your doctor at your first appointment.