Prescriptions for psychotherapy to WePractice

With a prescription for psychotherapy to WePractice, you ensure that your patient is treated promptly by a Psychotherapsit within the WePractice network. Please fill out the form below. Fields marked with * are mandatory. All information will be transmitted in encrypted form.

Please also inform your patients that the referral to a suitable and available psychotherapist is made via a referral platform to which several psychotherapists are connected.

If you encounter any problems with the form, you can also send the prescriptions to ueberweisung.wepractice@hin.ch. However, form submissions are preferred.

Patient information

Fields marked with * are mandatory. Your information will be transmitted in encrypted form.

Last name *

First name *

Date of birth

Phone number *

Preferred location(s)

Choose one or more locations

Preferred language(s)

Choose a language

Reasons(s) for treatment*

ADD / ADHD (attentional disorder)

Affective (mood) disorder (depression, mania, burnout)

Anxiety disorder

Adjustment disorder / Sleeping problems

Autism spectrum disorder / Developmental disorder

Relationship problems/ Sexual disorder and dysfunction

Eating disorder

Crisis / Conflicts / Difficulties in social behavior

Personality disorder

Psychosomatic disorder

Addictive disorder

Trauma

Obsessive compulsive disorder (OCD) / Tics

Other

Problem description and other remarks

Upload prescription for psychotherapy*

Please upload the signed prescription ("Anordnung") for the patient.

If you do not have a template of the prescription, you can download it here.

Drop the prescription for psychotherapy and any other relevant files here. Maximum upload limit for all your uploaded documents: 20MB.

Choose a file

Details of the referring person or practice

Fields marked with * are mandatory. Your information will be transmitted in encrypted form.

Last name *

First name *

Practice / Clinic / Hospital *

Phone number *

Email *

The personal data will be processed in accordance with our data privacy notice.