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Request a First Appointment

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Request Form

To help determine whether this practice is the right fit for you, we encourage you to review the Conditions Treated, Appointments and FAQs pages before completing the following form.

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If you already have a GP referral, please attach it to this form. If you have not yet obtained your GP referral, you may email or fax the referral after submitting this form. Appointments can only be considered once a valid GP referral has been received.

Request a First Appointment

Date of birth
Day
Month
Year
Gender
Which of the following conditions might apply to you?

Please Note: This practice does not provide assessment or treatment for ADHD. If you already have an ADHD prescriber and need help with other conditions, we recommend finding a single psychiatrist who can support your overall mental health, including your ADHD.

What kind of support are you seeking?

Please Note: This practice does not provide diagnoses or medical reports after a first appointment. Our approach focuses on supporting long-term improvement in wellbeing. While diagnoses or reports may be provided later in treatment, they are not the primary purpose of care.

Have you seen a psychiatrist before?
No
Yes
Have you seen a therapist before?
No
Yes
Are you a client of a public community mental health service?
No
Yes, but I am being discharged
Yes, but I am looking for alternative care
Yes. I am required to be a client under the Mental Health Act.
Not Sure

Please note: This clinic cannot support patients who are under the Mental Health Act.

Have a question?

Please email the clinic. 

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