NEW CLIENT ENQUIRY

New Client Enquiry Form

Kindly complete the form below with your information, and one of our friendly client services team members will reach out to discuss availability. We are accepting new clients for Occupational Therapy and Speech Therapy We currently have a waitlist for Psychology therapy services
Client Gender
Preferred Method of Services
Funding Type
What service(s) are you seeking?
Are you after therapy and/or an assessment service?
Are there any current court orders in place?
For separated/divorced parents,we may require consent from both parents prior to proceeding with services. If you have a court order granting sole parental responsibility, please provide a copy at the end of this form for our records.
Preferred Frequency of Appointments
How Did You Hear About Us?

Emergency Care Information: While we are here to address your non-emergency concerns, we are unable to respond to emergencies. In the event of an emergency, please take the following actions:Dial 000: For immediate assistance from emergency services or Visit the Nearest Hospital: Proceed to the nearest hospital emergency department for urgent medical attention. Your safety and well-being are our top priorities, and we want to ensure you receive the appropriate care in all situations. Thank you for choosing our clinic for your healthcare needs, and we look forward to serving you during your scheduled appointments. By submitting your information, you are granting us permission to contact you. You may unsubscribe at any time. Click here to view our additional help hotlines with contacts who may be able to support you. We strive to schedule your therapy as quickly as possible; however, waiting times can vary based on several factors, including the areas of support you are requiring, the availability of the most appropriate therapist, and your flexibility in attending sessions during available times. Appointments outside of school hours are particularly sought after, and as such, you may experience longer wait times if these are the only times you are available. Additionally, if you or your child have complex needs and requires a Senior Psychologist or Occupational Therapist, the wait time may also be longer.
We are currently accepting NDIS Self and Plan Managed clients. However, we are unable to accommodate NDIA Agency Managed clients at this time. We accept Medicare MHCPS and CDMPs/EPCS.
We kindly ask that all clients, parents and guardians become familiar with our clinic policies, particularly when shared parental responsibility is in place. This ensures that both parties are aligned with our guidelines and processes.
To review our clinic policies, please visit the following link:https://www.brilliantmindspsychology.com.au/about-us-2/clinicpolicies/
To view our clinic fees, please visit the following link: https://www.brilliantmindspsychology.com.au/about-us-2/fees-and-rebates/ Thank you for your understanding and cooperation.