FREE MINDFULNESS EXERCISES
Make an appointment2018-08-08T19:43:38+00:00

Make an appointment

To make an appointment complete the enquiry form below and our friendly support team will be in contact within one business day (usually much sooner).

If you have any trouble using this form don’t hesitate to call us on (03) 9376 1958 or email us here.

These questions will help us to match you up to the right team member, but apart from your contact details, they are all optional.

Your first name (required)

Your surname (required)

Your mobile number (required)

We'll give you a call about your booking request.
Yes, please phone meNo, I don't wish to be contacted by phone

Your email (required)

Your current address (required)
If your current address is not the same as the address you have registered with Medicare, please update your address with Medicare before your first appointment.

Street address

Suburb
Postcode

How did you hear about Inner Melbourne Clinical Psychology?

Date of birth (day/month/year)

Which location would you prefer? (You can choose more than one)
KensingtonMelbourne CBDFitzroy NorthNo preference

Which days/times would you prefer? (You can choose more than one option)
Monday 9-4pmMonday 4pm onwardsTuesday 9-4pmTuesday 4pm onwardsWednesday 9-4pmWednesday 4pm onwardsThursday 9-4pmThursday 4pm onwardsFriday 9-4pmFriday 4pm onwardsSaturday 9-3pm

Is there a particular psychologist you would like to see?

 
Please tick the issue/s you would like help with:

AnxietyDepressionStress and burnoutRelationship difficultiesChildren’s mental healthGeneralised anxietySocial anxietyPanic attacksPhobiasHealth anxietyTrauma and post-traumatic stressEating disordersBody image issuesPre and postnatal mental healthGrief and lossLow self-esteemPerfectionismAutism spectrum disordersBody dysmorphic disorderAdjusting to a new country and culturePeople from immigrant, asylum seeking and refugee backgroundsAbusive relationships or domestic violenceSexual assaultJob or study dissatisfaction
Carer supportAdjustment to stressful life changesDrug and alcohol issuesEmotional difficultiesBipolarSleep problemsAnger managementCommunication skillsIdentity issuesPsychosisObsessions and compulsionsChronic illness and painLiving with cancerLearning difficultiesCouples counsellingSexuality and sexual developmentWellbeing and self-careSelf-developmentInternet and game addictionFamily issuesParenting issuesSchool-based issuesEnd-of-life issuesWomen's health issuesDissociation

Of the issues above which one feels like the main issue, or the one you feel most concerned about?

If you have a Medicare referral, please note the name of your GP (if you know it)

Please let us know if there is any other information that you think it would be helpful for us to know when matching you up with one of our psychologists.