Bookings:

Client's name *

First Name

Last Name

Guardian/referrer name (if relevant)

First Name

Last Name

Mobile phone *

So our admin team can contact you via text or phone

Country

(###)

###

####

Your interests: *

Occupational Therapy

Counselling/Equine-assisted Therapy

Psychology sessions

I don't know

Your funding: *

Please note: the below options are the only funding sources we accept

Private (out of pocket)

NDIS self-managed

NDIS plan-managed

NDIS package pending

Medicare rebate (Psychology only- Mental Health Treatment Plan from GP)