Therapists at Mind Body Well are all skilled and experienced in their own areas of practice. As such, demand for our services is high and there may be a waiting time for therapy.

If you would like to request an appointment at Mind Body Well please complete the New Client Appointment Request form below and submit it to us, and one of our team will be in contact within 2 business days to discuss your request.

If you do not hear from us within 2 business days, please contact our office to confirm that your information has been received.

Please read our Information Forms regarding psychological or dietetic therapy prior to submitting your request.

Please also read the Mind Body Well Philosophy, to ensure you are comfortable with our approach.

PLEASE NOTE - We are not a bulk billing service, all services are to be paid in full at the time of the appointment and you will be provided a receipt you can use to make a Medicare or Private Health Insurance claim if you are eligible. You will be advised of our consultation rates in response to your request.

New Client Appointment Request Form

Please fill in all details with * symbol, and other details as relevant to you. Your form has not been successfully completed until you press Submit at the end, and see a pop-up box saying 'Thank you for submitting your information'.

Name *
Name
Gender
What type of therapy are you seeking? *
What days / times are you available for appointments? PLEASE NOTE - appointments outside business are extremely limited and will require a longer waiting time *
Please select as many as possible that apply
Click to select, or leave blank if n/a
Have you been formally diagnosed with any of the following?
Please select all appropriate
I have read and agree to the conditions stated on the Mind Body Well New Client Information Form *
I am aware of, and agree to adhere to the Mind Body Well appointment cancellation policy. I agree to be financially responsible for appointments not attended, or those cancelled with less than 48 hours notice *