New Client Enquiry Form

Please complete the form below

Please help us better understand your needs counselling needs by completing the New Client Enquiry form below . Our Practice Manager, Emma Clarris, will call you back within 48 hours of receiving your enquiry. Alternatively, you can call our reception team on (03) 9440 9886 and leave a message for Emma if you would like a call back to discuss which practitioner might be a good match for your needs.

Let us know a little more about what you are needing support with or what your current circumstances are. This information will help us match you to a practitioner and understand your needs.
Please select one or more times.
Please select one or more preferred days.
*Please note that we are not a bulk billing clinic