Enquiry Form

Please use the below form to contact us.

Please note: *** I am not currently accepting new referrals for treatment funded through Workers Compensation or motor accident (CTP) insurance schemes. ***

Name

Phone

For Psychological Services: Please share a little about the concerns you’re hoping psychology can help with. Please include any diagnoses you’ve received or suspect may be relevant, but there’s no need to go into detail.

For Psychological Services: Please share what goals you’d like to work towards or what you hope might feel different with support.

For Psychological Services: Please share what has prompted you to consider therapy now, along with anything you feel unsure about or that might make getting started difficult.

To register your interest in non-clinical group life coaching programs, please leave a comment below

How did you hear about this service? *If someone in your personal life has recommended this service, please let me know. If they are a current/former client, I will need to consider whether working with you could create a conflict of interest.

Terms & Conditions

I understand that Freedom Psychology and Life Coaching is not a crisis or emergency service and provides services only to adults.

*** If you are in immediate distress or this is an emergency, please contact Lifeline on 13 11 14 or call Emergency Services on 000 for urgent support. Tick here if this is NOT an emergency and you are not in immediate distress.

I understand that my enquiry will be reviewed to consider whether the services offered are a good fit for my needs and whether appointments are available.

I understand that submitting this form does not guarantee an appointment & that enquiries are typically responded to within 2-5 business days

Medicare Rebates: I acknowledge that I have read the Fees & Rebates information (available via the link at the top of this form) and understand that this practice does not offer bulk billing. An out-of-pocket cost applies even when I am eligible for a Medicare rebate.

I acknowledge that I have read the Privacy Policy, available via the link at the top of this form.