Contact our Clinic

Contact our Clinic

You can contact our clinic to book an appointment utilising several pathways.
ADMIN CONTACT

Our office is managed by our lovely admin team. You can call the office to book an appointment on 5221 7197. They will be able to answer your questions and register your interest in booking an appointment. Reception is open from 9am-4.30pm, Monday- Friday and operates from our Geelong office at Level 1, 77 Moorabool St, Geelong. Admin are also available via email at info@geelongpsychologygroup.com.au.

ONLINE EXPRESSION OF INTEREST

Alternatively, an online expression of interest is available which is quick and easy. Please complete the information below and we will get back to you as soon as we can.
Name

First NameLast Name
Gender
Date of Birth

DayMonthYear
Date
Phone
Email
example@example.com
Preferred contact method ( please select one)
If phone contact preferred, please select preferred time of contact. This will be within normal business hours (9am – 5pm, Monday – Friday)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My preferred days for appointment are: (Please select all days that would be suitable for you)
My preferred time of day for appointments is: (Please select all times that would be suitable for you)
Do you have access to any of the following funding support? (Please select all that apply)

Medicare Better AccessPrivate Health insuranceTACWorkcoverNDISVACUOther
What are you hoping to speak to a psychologist about?

AnxietyDepressionTraumaGrief & lossPhobiasStressSleep DisturbanceAutismADHDSports PsychologyFertilityFamily ViolenceSubstance useOCDPost natal careSelf esteemSocial anxietyAngerAbuse/sexual abuseBullyingRelationshipsSchizophreniaMenopauseSchool refusalHealth concernsTransgenderPerfectionismParentingSelf harmSerious illnessEmotion regulationPanic attacksAntenatal careIdentity personal empowermentLGBTQIA+BipolarAgingSelf harmBordeline personality
Please provide a brief summary of the above information to assist us in best selecting an appropriate psychologist to support you.
Are you currently (or expect in the future) will be going through any legal processes

YesNo
If yes, please provide a summary of the type of legal action (e.g. workcover compensation, family law / custody, criminal charges)
Please check the Geelong Psychology Group website to review our staff (LINK HERE). If available, who would be the 3 psychologists you would most prefer to work with?
In the instance that these psychologists are all at capacity, are you open to seeing a provisional psychologist? Please select.These staff have completed their Master’s degree, and are completing an internship year of supervised practice before full registration.

YesNo
Where did you hear from us

Google SearchSocial Media (Facebook, Instagram, etc.)Word of Mouth / ReferralDoctor / Medical ReferralOther
Please note that payment for the initial appointment is required prior to the first appointment. Please also refer to our cancellation policy.

We do have a voicemail service for after hours cancellation messages. (Fees still may apply for cancellation with less than 48 hours notice)
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