hello@mind-care.net.au

Home
Our Services
Our Team
- Join Our Team at Mind-Care
Resources
Contact

Request a Consultation

Home
Our Services
Our Team
- Join Our Team at Mind-Care
Resources
Contact
Request a Consultation

Request a Consultation

/

Request a Consultation

Your Mental Wellbeing Specialists

Our team of psychologists, psychiatrists, and neurologist are available for all your support needs.

Contact us today to find out how we can support you best.

First Name(Required)

Last Name(Required)

Email

Mobile(Required)

Who does this enquiry relate to?(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Do you have an NDIS package?(Required)

Yes

No

ENQUIRY ON BEHALF OF:

Their First Name(Required)

Their Last Name(Required)

Their Email

Their Mobile(Required)

Their Date of Birth(Required)

MM slash DD slash YYYY

Do they have an NDIS package?(Required)

Yes

No

Enquire about our services in relation to: (Check as many as apply)(Required)

Psychology

Psychiatry

Neurology

Please indicate which service is required:(Required)

Treatment and/or Therapy

Diagnostic assessment

Both

Unsure

Do you have a preference for the gender of you clinician?(Required)

No Preference

Male

Female

Which form of consultation would you prefer to use?(Required)

In-Clinic

Telehealth

Main Concerns(Required)

ADHD / Autism

Anxiety &/OR Depression

Challenging Behaviour

Traumatic Events

Grief & Loss

Parental Separation

Women's Health

Other (Please specify below)

How did you find out about us?(Required)

GP

Web search

Social media

Advertisement

Word of mouth

Other

This field is hidden when viewing the form

Main Concern(Required)

ADHD

Anger

Anxiety

Autism/ASD

Behaviour Difficulties

Bullying

Depression

Domestic Violence

EMDR

Emotionally Sensitive

Gender Dysphoria

Grief/Loss

OCD

Phobias

Self-Esteem/Confidence

Self-Harm/Suicidal Ideation

Sexuality

Social Difficulties

Trauma

This field is hidden when viewing the form

Main Concern(Required)

Epilepsy

Migraine/Headaches

Multiple Sclerosis

Neuopathy

Parkinson’s Disease

Stroke

Tremor

This field is hidden when viewing the form

Select type of plan(Required)

Provider Managed

Self Managed

Plan Managed

This field is hidden when viewing the form

Please list plan manager organisation and contact details(Required)

Message

Upload referral if available

Max. file size: 32 MB.

Contact Details

02 4943 4111

02 4943 4400

Email Us

Level 3, 28-38 Smart Street, Charlestown NSW 2290

View on Google Maps

© Mind-Care Psychology, Psychiatry & Neurology . Website by Lightning Sites

Privacy Policy