Enquiry & Booking Form

Please complete this form to help us understand your needs and schedule appropriately

We're here to help!Thank you for reaching out to us. We'll be in touch within 3 business days to discuss your needs and how we can best support you. We look forward to connecting with you soon and beginning this journey together.

If You Need Crisis Support:It is important to note that we ARE NOT a medical/psychological crisis service. If you need immediate assistance or are experiencing a crisis, please contact:

• Emergency Services: 000

• Lifeline: 13 11 14

• Mental Health Line: 1800 011 511

I'd like to: *

Book an Initial Consultation/ AppointmentFind out More Information

Parent Name (if applicable)

Your Name (If referring and not a parent)

Client First Name: *

Last Name: *

Date of Birth *

Current Age *

Organisation/Company/School Name

Your Name

Position

Address *

Street address *

City *

State *

Postcode *

Email Address: *

Phone Number: *

Initial Consultation Requirements - New Clients Only (One-Time Requirement)

Already a client?If you're an existing client with new concerns or seeking intermittent support, you'll be scheduled for a Standard Consultation at $180 instead.

New to our practice?A one-off Initial Consultation appointment is required for:

• Wanting to start Individual Therapy (Adult or Child)

• Requesting any assessment or report services

This policy applies equally to all clients—whether private, self-managed, or plan-managed NDIS participants—to ensure equitable access and maintain our high standards of care.

Booking & Payment Process:This form is to record your interest in our services. Once submitted, you will receive an email from our clinician acknowledging your enquiry and providing available appointment times to discuss further. Once you confirm an appointment time that works for you, an invoice will be issued to secure your booking. Please note that appointment times are offered on a first-paid, first-secured basis—we cannot hold appointments exclusively. Your booking is only confirmed once payment is received. This transparent process ensures fair access for all clients seeking support.

Your 50-Minute Initial Consultation Includes:

• Comprehensive review of any documentation provided prior to the appointment

• In-depth consultation to understand your unique needs, goals, and circumstances

• Development of a personalised therapeutic approach

• Post-session clinical documentation and detailed service planning

Format:Initial Consultations are conducted via Telehealth unless in-person is specifically requested by you or recommended by the clinician.

Investment: $237.50 (Except Couple's Sessions: which is $340 for the 80 min Initial Consultation Session)

• Private clients: Payment secures your appointment

• NDIS participants (self-managed or plan-managed): Fully claimable under Capacity Building funds, provided these funds are available in your plan

Why This Policy Exists:This requirement ensures we can provide the highest quality therapeutic services by:

• Allowing adequate time to understand your needs comprehensively

• Respecting the time of other clients waiting for appointments

• Maintaining professional standards and duty of care

• Ensuring therapeutic suitability and the best possible outcomes

Cancellation Terms:In accordance with standard healthcare practice and Australian Consumer Law, the Initial Consultation fee is non-refundable for:

• No-shows (failure to attend without notice)

• Late cancellations (less than 24 hours notice)

• Change of mind after booking confirmation

Exceptional Circumstances:We understand that life emergencies happen. Refunds or rescheduling may be considered on a case-by-case basis.

Please note: This Initial Consultation is a ONE-TIME requirement for new clients only. Once completed, you are considered an existing client and will not require additional Initial Consultations. Any future new needs/services would be addressed through Standard Consultations at the usual rate of $180.

Funding Type *

Private Pay ClientNDIS funded - Self ManagedNDIS funded - Plan Managed

I am interested in (you can select as many as applicable) *

Individual Therapy Couples/Relationship Therapy Relationship Support Therapy ( for 1 person in a relationship)Parent Psychoeducation & Capacity Building Sessions (NDIS)Adult Screening & Diagnosis (ASD and/or ADHD)- Please specify in the notes section belowNDIS Specialised Evidence & Reports ( Plan Reviews, Change of Circumstance etc) Psychosocial Functional Capacity Assesments - NDISMums of ASD kids Support Group Other

• I understand that Sage Mind is a private fee-paying service. Medicare and private health fund rebates are not currently available.
• Eligible self-managed and plan-managed NDIS participants may be able to use their funding where appropriate, under Category 15, Capacity Building.

*

Ideally, when do you need an appointment: *

How would you rate your urgency level? *

LowMediumHighUrgent

Session Format Preference *

In- person sessions at Oran Park OfficeTelehealthEither/I Don't mind

How did you find out about us? *

Contact Preference *

Zoom MeetingOn-Site Meeting

I am interested in

Reflective Practice / Wellbeing Supervision Sessions Trauma and/or Neurodivergence Professional Development Presentation for StaffGeneral Wellbeing Professional Development for StaffLeadership Professional Development Case ConsultationOther

When are you likely available? Select all that apply *

Mornings 10am-12Afternoon 12 - 4pmEvenings (Telehealth Only): 5pm - 8pm

Please write any specific information we need to know