Patient Referral Sheet (Provider Use)

Psychotherapy and Assessment Services | Waterloo, Ontario

Referral Contact

Tel: 226-476-0276
Fax: 226-647-7866
Email: info@waterloopsychologygroup.com

Clinic Details

22 King Street South, Suite 402
Waterloo, ON N2J 1N8
Website: waterloopsychologygroup.com
Patients may self-refer; professional referrals are accepted.

Submission note: Please fax personal health information whenever possible. Email is not always a secure way to send confidential information.

 

Quick Service Guide for Referrers

Assessment Services

  • Psychological (diagnostic)

  • Psychoeducational / developmental

  • Neuropsychological

  • Common concerns: learning disorders, ADHD, mood/anxiety, cognitive concerns

Psychotherapy (individual)

  • Children, adolescents, adults

  • Anxiety, depression, grief

  • OCD / trauma / adjustment

  • Eating / body image concerns

  • Perinatal anxiety / depression

  • Perimenopausal mental health

  • Chronic pain; concussion / TBI symptoms

Referral process: patients can call/email office admin for matching; self-referral is allowed and professional referrals are accepted.

Fees/costs: therapy fee listed at $240/hr; assessment costs vary by type; OHIP does not cover private-practice psychological services; no direct insurance billing.