Background image

Client Details

Patient

Thank you for your interest in working together. To submit your enquiry for therapy or supervision, please complete this short form. I will get back to you within 24 hours regarding my capacity for new clients and appointment availability. Thank you for your patience. In the meantime, if you or someone you know is in urgent need of support, please contact the Mental Health Telephone Access Line on 1800 011 511 or Lifeline on 13 11 14. Take care and talk soon, Erin.

Patient Details

Phone Numbers

Introduction Source

* Mandatory questions