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Private patient pre-screening questionnaire - Schoen Clinic Chelsea

**If you are experiencing a mental health crisis, please contact your local crisis team or if you need urgent medical assistance, please dial 999.

If the above does not apply, please complete this pre-screening questionnaire if you wish to access treatment at Schoen Clinic Chelsea. This allows us to gather some important initial clinical information upfront.

We treat children and adults with mental health conditions, including eating disorders on an outpatient basis. 

There are 2 important stages to accessing private treatment with us; 1) complete this pre-screening questionnaire and 2) send a recent GP or healthcare professional referral/clinical summary (if possible) so we have some medical information to hand. Once we have this information, we will share it with our in-house clinical teams and advise how we can best help.

If you/the patient are clinically appropriate for treatment with us and private funding is agreed, our aim is always to start treatment as soon as possible. 

Once this questionnaire is complete and submitted, we will be in touch with you as soon as possible to advise next steps.
 

Thank you for reaching out to us at Schoen Clinic Chelsea.

Private Enquiries Team
Schoen Clinic Chelsea

Enquirer/patient information
Full patient address including postcode
GP name and surgery address including postcode
Pre-screening questionnaire

If you are not using health insurance to fund treatment, please visit our website to ensure you are aware of our self-funding fees.

We ask these questions for clinical reasons but please be assured, we keep all answers securely held on our systems.

Thank you for completing our private pre-screening questionnaire, a member of our friendly team will be in touch as soon as possible.

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