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For clinicians

Refer a patient

We acknowledge within one working day, contact your patient within two, and write to you within five working days of her consultation.

Refer when: low or absent sexual desire for six months or more · causes her distress · generalised and acquired · the biopsychosocial screen finds no sufficient cause, or contributors addressed without recovery · aged 18 or over · she wants to explore options. Full criteria →

Referral form goes here. Build the GHL form “Clinician Referral” (fields in 12 Marketing & Content/Clinician Programme/Drafts/Referral Pack), paste its id into CONFIG → GHL_REFER_FORM_ID, re-run the build. Preview of the intended form:

Referral form

About you

About your patient

Referral information is health data, handled under UK GDPR Article 9(2)(h) as part of the provision of care and stored in the clinic’s clinical record system. See our privacy notice.

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