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- About Us
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FAQ

Book An Appointment

About
- About Us
- Our Team
Services
Appointments
FAQ

Book An Appointment

Appointments

ballpoint pens on pink notebook

ballpoint pens on pink notebook

What is the name of the client looking to book in?*

Is a Parent/Guardian filling out this form?*

Yes

No

If yes, what is the name of the Parent/Guardian?

Phone Number*

Email Address*

Date of Birth (Client)*

Please select from the options below the appointments you are after:*

Therapy (Trauma, Anxiety, Depression, etc.)

Assessment (ADHD, ASD, Cognitive, etc.)

Groups (Not yet available)

Other

If you selected 'Other' above please explain:

Please choose your preferred appointment type below:*

Phone Consult

In-Person

Telehealth (Online)

We have a Registered Psychologist and three Provisional Psychologists available. Provisional Psychologists are fully qualified and currently completing their final supervised practice before full registration. The main difference is that the Registered Psychologist has completed an additional year of training required for Medicare registration. Would you be comfortable seeing a Provisional Psychologist?

Yes

No

Maybe. I need more information.

Choose your benefits below:*

Medicare

NDIS

Private Health

None of the above

Describe your concerns*

Which day would suit you best?*

Monday

Tuesday

Wednesday

Thursday

Friday

Which time/s would suit you best? Each therapy appointment goes for 50 minutes.*

9 - 9:50 am

10 - 10:50 am

11 - 11:50 am

1 - 1:50 pm

2 - 2:50 pm

3 - 3:50 pm

4 - 4:50 pm

We have both Male and Female Psychologists at our Practice. Which would you prefer to see, or choose both if you don't mind.*

Female

Male

I acknowledge that there is a 'Gap Fee' payable on the day of the appointment. This fee will vary on who you see, and/or your Medicare or Private Health Coverage.

I Understand

Want to schedule an appointment? Fill out the form below to begin!

We are not a Bulk Billing Practice. Please note there will be a gap fee charged depending on which Psychologist you see, and/or your Private Health or Medicare coverage

Terms & Conditions | Privacy Policy

“We show our respect and acknowledge the traditional custodians of this land, of elders past and present, on which this event takes place.”

Contact

0409 447 912

admin@southernpsychologists.net.au

Monday to Friday

9:00 am - 5:00 pm

15 Penney's Hill Road,

Hackham SA 5163

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