Parramatta | Hills District
We don’t bulk bill. However, we offer free counselling if you have financial difficulties or hold a Concession Card.
Your name (required)
Your phone (required)
Your email (required)
How did you hear of us - that lead you to fill out this form, eg our website, friend, family, GP referral, NDIS, WorkCover, Victims Services or something else? (required)
Summary of the help or services you are seeking from us (required)
Do you prefer a male or female practitioner? (required)
Preferences for meeting? Select one or more boxes. (required)
ParramattaNorwestTelehealth (ie Zoom or other video platform)
Preferred days and times? (required)
Choice of therapist. Select one or more boxes. (required)
I have a particular person in mind.I wish to use a Mental Health Care Plan to receive a Medicare rebate, if eligible.I’d like information on the best matches across the whole team.I request free counselling from an Intern, due to financial difficulty.
Please indicate the best days or times to call you back over the next week. Our business hours are 9-5 Monday to Friday. (required)
Thank you for submitting this form.