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NEW CLIENT ENQUIRY

Refer To Us (Third Parties)

If you are an individual self referring, please refer to the 'General Inquiry Form' page under the 'Contact Us' Tab.
The following form is for referrals made by medical professionals (GP's, Paediatricians etc.,), allied health professionals, schools, universities, support coordinators, plan managers, support workers or alternate serviced providers.
By compleying the following form, you are granting us permission to contact you to send you a screener form to you or your client directly.
It is important that the individual being referred consents to the process and is comfortable with us reaching out to schedule an appointment/assessment/provide further information. Additionally, they should be onboard with our clinic policies. We recommend discussing these details with your client in advance to ensure everyone is on the same page and is comfortable with moving forward.
Important Note for General Practitioners (GP's): To make this process smooth, please ensure your referral is dated, signed and is complete with your provider number and number of sessions.
Your understanding and cooperation is greatly appreciated!

Refer To Us

Please complete the following form and click submit when ready:
Services Client Is Requesting
I have obtained the client's consent to contact BMP on their behalf
I acknowledge that Brilliant Minds Psychology will reach out to the client to initiate the intake process and schedule appointments

Thank you!

We have received your submission.

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31330610 Email: info@brilliantmindspsychology.com.au Accepting new OT clients - Occupational Therapy Accepting new clients for Speech Therapy
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