New Patient Details Form

Please choose from the following New Patient forms
and click to complete.

Persons UNDER 16 years
New Patient Details’


Persons 16 years & over
New Patient Details’
GP to Psychiatrist Referral Form


  1. Download the PDF form
    Right-click 'Save link as...'
    OR Right-click 'Save target as...'
  2. Fill out the form, save it and email it to
    Print out the form, fill it out and post it to:
    Mi-Mind Centre
    224 James Street
    Toowoomba, QLD 4350