Form cover
Page 1 of 1

Rainbow Muse Warburton Waitlist

https://storage.tally.so/63e90b94-e7ec-4628-b290-098360a8f7c2/RM-Studio-Waitlist-2-2000-x-650-px-.png

Thank you so much for your interest in Rainbow Muse Studio. This form is a beginning, not a promise—an invitation to a potential conversation, not a commitment from either of us.

If you’re looking to connect with one of my brilliant peers at the Collective in Ferntree Gully, please head over to the Rainbow Muse Collective page to find your fit. I don’t offer sessions in Ferntree Gully—I’m a forest-dweller by nature, and I work from my Warburton studio, out in the picture-book magic of Warby, or online.

Before you go any further, please take a moment to fully read my page. Learn about what I do. How I work. What I believe in. Because I’m not for everyone—and everyone isn’t for me. And that’s a beautiful thing. There’s no pressure, no performance, and no guarantees. Just possibility. If that feels good to you, I’d love to hear from you.


Who is filling out this form

Who is filling out this form
A
B
C
D

If you’re a parent, carer, or other support person filling out this form on someone else’s behalf, please share your details below before we move on to the human this form is about

Full Name of human being referred

Pronouns

Pronouns
A
B
C
D

Date of Birth

Email Address

Phone Number

Address

Preferred communication method

Preferred communication method

https://storage.tally.so/0cdd8899-33c1-43b4-83c7-b0dcdcf7d8db/DIversity2.png

What brings you to us?

Can we have a brief history to understand a bit more?

At Rainbow Muse, we prioritise holding space for people who face barriers in mainstream services—especially those navigating marginalisation due to race, culture, neurodivergence, disability, gender, or queerness. If you’d like to share anything here, we will honour it with care and hold it as we navigate your referral.

Is there anything you’d like us to know about your identity or experience that might affect how you access support?

NDIS Number

NDIS Plan Category

NDIS Plan Category
A
B
C

If you do not have NDIS, how will you be funding your therapy?

If you do not have NDIS, how will you be funding your therapy?

Preferred Day

Preferred Day

Preferred Time

Preferred Time

Desired Frequency

Desired Frequency

Desired Location

Desired Location

What are you hoping we can explore together? (Its ok if you are not really sure; we can figure it out together.)

Anything else you would like me to know?

Want to share any reports or documents? If you’d like to upload anything that feels relevant—like NDIS plans, assessments, or support documents—you’re welcome to do so here. This isn’t about labels or pathologising. I don’t make up my mind about anyone based on reports or other people’s narratives. It’s just one more way for you to share what feels important—only if you want to.

Untitled checkboxes field
Untitled checkboxes field

Please Sign

Signature