Make a Referral

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Electronic Referral Form


Please select the referral form for the service that you are seeking. For more information about the service please visit the Services section on the left-hand side menu.

If you are not able to complete the electronic referral form, you may complete this form (PDF, 178 KB) and submit to;

The Psychology Clinic at Queen’s
Department of Psychology
Queen’s University
Kingston, Ontario K7L 3N6

Fax: 613-533-3282


Referrals can be made by clients, parents, schools, and health professionals.