health care professionals

Polysoma welcomes referrals from health care professionals. We have produced a review to help you decide/consider recommending sexological bodywork to clients. You can download the review here.


Download PDF


To make a referral please provide us with the following:

  • Your patients presenting or active problem, allergies, medical history, surgical history, psychosocial history, current and past medications.
  • Your details and practice information.
  • Any pathology and medical imaging reports that would be of help.

Referrals can be made below, or in writing to Polysoma. Once you have made a referral please direct your patient to make an appointment with us online. Alternatively your patient can txt Polysoma to do this. Please note copies of medical history, pathology and medical imaging should be given to your patient to forward to us, or you can post this information.

Referral Form

Practice / Referrers Details

Patient Details