NEW CLIENT INTAKE FORM

Please note that 12 Points Psychology is not an emergency service. In the event of a mental health emergency, please contact your GP or nearest emergency department/hospital.

The following services may also be of benefit in a crisis situation:

Lifeline 13 11 14

Beyond Blue 1300 22 4636

Kids Helpline 1800 55 1800

Therapy Bytes - online support program to help you better manage your stress, anxiety or mood.

NEW CLIENTS

Please complete the form below as accurately as possible. If we don't have anyone suitable for you with availability in the near future, then we will email you with a couple of alternative suggestions. If however we think one of our clinicians may be a suitable fit, then we will call you back to discuss making an appointment. We aim to respond to all enquiries within 2 business days.

Only complete the above box if you are enquiring on behalf of someone else
This is a reminder that 12 Points Psychology is not an emergency service. In the event of a mental health emergency, please contact your GP or nearest emergency department/hospital. The following services may also be of benefit in a crisis situation: Lifeline 13 11 14, Beyond Blue 1300 22 4636, Kids Helpline 1800 55 1800