Therapy Request

 
1 2 3 4 5 6 7 8 9 10

If you would like to request an appointment with one of our therapists, please fill out the following questionnaire to help us assess your needs.

Completing this form does not guarantee that you will receive treatment.
FUNDING SOURCE
PRIVATE PAY

Private Consultation Fees are charged at an hourly rate and are dependent on the profession of the therapist.

Psychologist $150 - $200
Psychotherapist $100 - $140
Counsellor / Arts Therapist $80 - $130

Rates are GST exclusive

CAPTCHA
We'd like to prevent automated spam submissions. Please demonstrate that your are not a robot.