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Find the Right Therapist for You
We’d love to help you find the right therapist.
Just answer a few quick questions, and then choose a time that suits you for our intake team to get in touch and talk through your best matches.
1. Who is the support for?
*
1. Who is the support for?
A
Myself
B
My child
C
My partner
D
Someone else
2. Name of person support is for:
*
3. Age of the person needing support:
*
4a. What areas do you need help with (tick any that apply)
4a. What areas do you need help with (tick any that apply)
A
Anxiety
B
Depression
C
Grief and Loss
D
Chronic Pain
E
Trauma/PTSD
F
Health Condition
G
Phobia
H
OCD
I
ADHD
J
Autism/ASD
K
Relationship issues
L
Sleep issues
M
Behaviour challenges
N
Parenting challenges
O
Assessment
P
Other
4b. Other presenting concern/s not listed above (please specify)
5. Preferred appointment type:
*
5. Preferred appointment type:
A
In-person
B
Telehealth
C
No preference
6. Preferred location (if in-person)
6. Preferred location (if in-person)
A
Birtinya
B
Sippy Downs
C
No preference
7. When are you generally available for appointments? (select all that apply)
7. When are you generally available for appointments? (select all that apply)
8. How soon would you like to start?
*
8. How soon would you like to start?
A
As soon as possible
B
Within 1-2 weeks
C
I'm flexible
Name:
*
Email:
Phone Number:
*
Submit
