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Therapy Enquiry Form
Welcome to H&H!
A few important things to note:
This is the form to complete if you're after individual therapy or couples counselling.
We no longer accept NDIS Plan managed or Agency managed funding for our Psychology appointments, as we will no longer be working with third parties (including the NDIS) for psychology services.
Plan managed or Agency managed NDIS funding can be used for Dietetics and our
Parenting Program
.
Autism/ADHD/Learning assessments:
Please complete this form instead of this therapy request form:
https://tinyurl.com/2eamjem7
If you are also after therapy then please also complete this form.
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Email
*
Your email
Where did you FIRST hear about H&H?
*
G.P.
Paediatrician
Psychiatrist
Family member
School
Kinder
Facebook
Childcare
Google
Friend
Walked past and saw the sign
Allied Health Professional
Other:
Please select all services you are interested in:
*
Belmont: Psychology - counselling and therapy
Werribee: Psychology - counselling and therapy (Currently not taking new clients)
Telehealth: Psychology - counselling and therapy
Paediatric Dietetics (Telehealth only)
Adult nutrition and dietetics (Telehealth only)
Parent Support (Telehealth)
Autism/ADHD/Learning assessment: please complete this form instead
https://tinyurl.com/2eamjem7
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