Refer a Patient to Nirva
Complete the form to refer your patient for personalised Nirva care.
Referrals take less than 2 minutes.
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Your Information
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Patient Information
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Age Range
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Condition & Reason for Referral
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Other
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Additional notes
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I confirm that the patient has given their consent to be referred to Nirva Health and for their information to be shared for the purpose of this referral.
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I would like to receive progress updates about this patient's journey with Nirva (with patient consent).
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Why Consent is Required
UK GDPR and data protection compliance
Patient awareness and agreement to referral
Permission to contact them directly
Sharing health information with clinical team
Best possible patient experience
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Thank You!
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What Happens Next
Within 24-48 hours – Team contacts patient to schedule consultation
Initial Assessment – Comprehensive health assessment with Nirva Health Experts
Personalised Programme – Tailored wellness plan based on unique needs
