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
Kingston, Ontario K7L 3N6
Referrals can be made by clients, parents, schools, and health professionals.