Practical Psychology - Initial Enquiry

The Practical Psychology Clinic

For New Clients
The Practical Psychology Clinic @ CALM

For New Clients
Collaboration
Your Name

Your First NameYour Last Name
Your Email
example@example.com
Your Mobile Number
04XX XXX XXX
Do you have a current Referral Letter and Mental Health Treatment Plan (MHTP)? This would have been developed by your GP and could entitle you to a Medicare rebate for sessions.
Before applying, and to access your Medicare rebate after the session, you will need to talk with your GP and ask for a Referral Letter and a Mental Health Treatment Plan (MHTP).
What is the name of your GP?

GP First NameGP Last Name
What is the name of the GP Practice?
What is the postcode of the GP Practice?
What day(s) of the week are you usually available for sessions? You can choose more than one.
What times(s) of the day are you usually available for sessions? You can choose more than one.
In addition to working with a psychologist, are you interested in using digital mental health resources?
Should be Empty:

The Practical Psychology Clinic