Request an Appointment

Your Name

First Name

Last Name

Client Name (if different)

First Name

Last Name

Client Date of Birth

YYYY

Client Gender Identity

Phone Number

Please tell us about yourself/the client so we can identify which of our practitioners may be suitable

Please provide brief details about the reasons for attending and what kind of service and support is required.

Has a GP prepared a referral and Mental Health Treatment Plan (or Eating Disorder Plan or Team Care Arrangement?)

Fee and rebate information is available here: https://www.accoras.com.au/psychologyservices

Additional information

Please let us know the following: If being referred by a GP, which GP and practice will the referral come from? If attending through WorkCover, what is the claim number? If attending through NDIS, is the plan self-managed or plan-managed (and if plan-managed, who is the plan manager)?

What weekdays and times generally suit for an appointment?

Please note that late afternoon and evening appointments are in high demand and may not be available for a number of weeks.

Are you open to phone or video appointments?

Phone and video appointments may mean you can see your practitioner earlier this way, and have face-to-face appointments in the future.