WE WOULD LOVE TO HEAR FROM YOU!

To book a session - please fill out our contact form, or email us: hello@mindcareavenue.com

Name

First Name

Last Name

Phone

(###)

###

####

What gender do you identify as?

Our practitioners are highly skilled in specialist areas and it's important we find one that's right for you. If you feel comfortable, would you mind specifying in a word/ phrase your reason for booking.

For example, you may say "Anxiety or General Life Stressors" if this applies to you.

Would you describe the severity and impact of these difficulties as high, moderate or low?

If severity is high, can you please advise if you currently have the necessary supports in place?

More information if required

Have you previously seen a Psychologist, Psychiatrist or other Mental Health Professional?

Initially, therapists generally recommend sessions every one to two weeks. How frequent would you like to have your appointments?

This will help us ensure your psychologist has capacity for this frequency, so we can offer some consistency with your appointments.

Will you primarily require face to face sessions or Telehealth sessions?

How did you hear about us?

Was this through Social Media, your GP or other practitioner, or another way?

Please keep in mind that Mindcare Avenue is not a crisis service. If you or someone you know are seeking immediate support please refer to the crisis support information.
If you or someone you know is at immediate risk of harm to yourself/themselves, please call 000 (triple zero) or present to your nearest emergency department.

WE WOULD LOVE TO HEAR FROM YOU!

MIND CARE AVENUE.