Referrals

Information for Health Practitioners

Referrals can be made directly to the clinic via our secure fax on 03 4408 4636. Alternatively, your patient may bring the referral in personally.

Our fee structure is as follows.

Under a mental health care plan, most patients, with a valid Health Care or Pension Card, will have an out of pocket expense of around $35.00. The Medicare rebate is refunded to the patient’s account, usually the following day. Bulk billing is available in very limited circumstances.

Patients under a mental health care plan, who do not have a Health Care or Pension Card, will have an out of pocket expense of around $75.00 per session (after the rebate).

Our standard full fee is $225 per 50 minute session. Other agency fees / discounts may apply. Private health fund rebates are also available.

    Patient Details

    First Name *

    Surname *

    Email *

    Preferred Contact Number *

    Referral Details

    Referring Practitioner:

    Medicare Provider No:

    Email:

    Preferred Contact Number:

    Service: Anxiety and depressionStress and PTSDSelf-esteem and confidence issuesPersonality issuesGrief and lossCoping and adjustment difficultiesTrauma and impact of abusePanic and phobiasSleep disturbancePregnancy counselling and supportOtherUnsure

    Date of Referral:

    Reason for Referral:

    Type of Referral:

    Please upload any referral documentation here (or provide to patient):
    (PDF,DOC,DOCX only, Max 3MB)
    (PDF,DOC,DOCX only, Max 3MB)

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