For referring practitioners

Refer a client to Palesa Shené Chele

Complete the form below. We respond to all referrals within one business day to confirm receipt and discuss availability. For urgent referrals, please call directly.

1Referring practitioner

Your name

HPCSA / BHF number (optional)

Practice / hospital

Discipline

Contact number

2Client details

Client full name

Date of birth

Client phone

Medical aid (optional)

3Clinical information

Urgency

Referral type

Reason for referral

Current medication (optional)

I confirm the client has consented to this referral and to their clinical information being shared with Palesa Shené Chele for the purpose of psychological assessment and treatment.

Contact Palesa Shené Chele

Phone

079 796 7515

info@pscpsychology.co.za

Hours

Mon – Fri · 10:00 – 18:00 | Sat · 10:00 – 14:00

What happens next

Referral received and acknowledged by email — usually same day.

We contact the client within one business day to arrange an intake session.

A brief report is sent to you after the initial assessment, with the client's consent.

Ongoing communication as clinically appropriate throughout treatment.

Palesa Shené Chele

HPCSA PS0155063 · Practice No. 1154109
BA (WITS) BA Hons (WITS) MA Clin Psych (RU) · Clinical Psychologist