For Referring Practitioners

Refer a patient to Dr K Letseli

Complete the form below. We respond to all referrals within one business day to confirm receipt and arrange an appointment. For urgent referrals, please also call the practice directly.

1Referring practitioner

Your name

HPCSA number (optional)

Practice / hospital

Discipline (optional)

Contact number

Your email

2Patient details

Patient full name

Date of birth (optional)

Patient phone

Medical aid (optional)

3Clinical information

Urgency

Referral type

Reason for referral

Current medication (optional)

I confirm the patient has consented to this referral and to their information being shared with Dr K Letseli for the purpose of psychiatric assessment and treatment.

Contact Dr K Letseli

0732299737 | 0673247815

info@drkletseli.co.za

What happens next

Referral received and acknowledged by email, usually same day.
We contact the patient within one business day to arrange an appointment.
Ongoing communication with you as clinically appropriate throughout treatment.

Dr K Letseli

HPCSA MP0580848 · Practice No. 0977241
MB ChB(FS), DMH (SA), FC Psych (SA), MMed (Psych) Wits · Specialist Psychiatrist

Refer a patient to Dr K Letseli

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