Private patient pre-screening questionnaire

**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 to assess initial suitability for private treatment at Schoen Clinic Chelsea. We treat young people and adults with eating disorders and mental health conditions using a mixture of one-to-one appointments and group therapies (as recommended).

There are 2 important stages to accessing private treatment with us; 1) complete this pre-screening questionnaire and 2) attend an appointment at our welcoming London clinic so your dedicated expert can assess you fully and suggest the best course of treatment.

If you are clinically appropriate 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.  

Thank you.

The Private Patient Care Team
Schoen Clinic Chelsea

Enquirer/patient information

Full patient address including postcode

GP name and surgery address including postcode

Pre-screening questionnaire

(Please email this to – che-privateenquiries@schoen-clinic.co.uk)

If you are not using health insurance to fund treatment, please visit https://www.schoen-clinic.co.uk/chelsea/patients/self-funding-patients to ensure you are aware of our self-funding fees.

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