The Spot Booking Form

Book an appointment at The Spot! Free. Private. No Shame.

Please fill out this form to book a time with our clinic. It only takes a few minutes. You can choose the location that works best for you and let us know what support you're looking for. Don't see a time that suits? Just walk in anytime between 11am - 7am on the day of the clinic and one of the team will be around to help you! All information you share is private and helps us give you the right care.
Full Name (or, make up a nickname!)*

First NameLast Name
Age*
(please enter how old you are)
*Eligibility*
Gender*
(i.e male, female, nonbinary...)
Unfortunately, our service is only eligible for those aged 12 - 25 years old

Here are some other FREE services in your local area;

DARWIN

STI Checks - Clinic34

Mental Health support - Darwin Medicare Mental Health Centre

KATHERINE

STI Checks in Katherine - Clinic34

Mental Health support - Katherine Mental Health Service
Contact Preference(s)*

Via PhoneVia TxtVia Email
Email*
example@example.com
Phone Number*
Which site is best for you?*
Would you like us to let you know when The Spot Katherine site is open?*

Yes, please!No, thanks
Appointment - NTAHC Darwin - (Walk-ins 11:00am - 1:00pm and 3:00pm - 5:00pm)*
Appointment - headspace Darwin - (Walk-ins 11:00am - 1:00pm and 3:00pm - 5:00pm)*
What service(s) would you like?*

STI TestingSomeone to talk to (counselling)Family Violence supportSexual Violence supportPregnancy TestingContraceptive adviceSexual health and wellbeing educationGender, Sexuality and Identity questionsRespectful Relationships adviceI'm not sureOther
Would you like to bring a support person? (You're more than welcome to!)

YesNoMaybe
Before you book, please note;
- The Spot is for young people aged 12–25.

- Your booking details are kept private and are only used to arrange your appointment.

- This booking form is not an emergency service. If you are unsafe or in crisis, please call 000. You can also call Lifeline (13 11 14) or Kids Helpline (1800 55 1800) anytime.

- You’ll be asked to go through a full consent form when you arrive, so you’ll have another chance to ask questions then.
Consent*

I understand the above and agree to my details being used for booking an appointment at The Spot
Please verify that you are human*
Should be Empty:

Book an appointment at The Spot! Free. Private. No Shame.

Before you book, please note;