Contact

Contact Us

Phone: (902) 404-9940
birchsidepsych@gmail.com
Suite 2015, 1658 Bedford Hwy, Bedford, Nova Scotia (see map below)
Fax: (902) 404-9942

To book an initial appointment, please complete the self-referral form below

To book a follow up appointment, please use the online booking system at birchsidepsych.janeapp.com

We aim to respond to calls, emails, and completed self-referral forms within 48 hours. If you have not received a response within 72 hours, please call (902) 404-9940

Questions about doing an appointment using the Jane video app, check out:
How to join your online appointment
Test your video before your online appointment
Questions about telepsychology

Self-referral form

* Indicates required field

Your name *

First

Last

Name of child being referred (if applicable) *

Age of person being referred *

Date of birth of person being referred (Month, Day, Year) *

Email *

Is it okay to email you? *

Phone Number we can use to call you back *

Is it okay to leave a message at this phone number? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please provide a brief explanation of your concern *

Current medications of person being referred *

If you feel comfortable, please tell us how you heard about us *

For parents/caregivers completing a referral for their child, please complete the following questions:

Your relationship to the child *

Marital/Civil status of child's parents/caregivers *

Please describe who has medical decision making rights for the child being referred *

Submit

Birchside Psychological Services
Suite 2015, 1658 Bedford Hwy
Bedford, Nova Scotia
B4A 2X9

Office is located on the second floor using the stairs/elevator on the left side (when facing Giant Tiger)