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Welcome to Belconnen Psychological Assessments!

We take the privacy, security and careful handling of personal information seriously. Before you provide any details about your assessment enquiry, we will first ask you to:

  1. provide details about yourself (the person lodging this enquiry), and;
  2. read and confirm a small number of important privacy, information-handling and service acknowledgements.

These questions help make sure you understand our service, how the information you provide will be used, how we may contact you, and what to do if you or the person you are enquiring about needs urgent or crisis support.

We appreciate that this adds a few extra steps at the beginning of the form, and thank you for your patience. Once these are completed, you will be able to tell us a little about the person you are enquiring about, and what you are hoping we may be able to assist with.

Personal information you provide will be handled in accordance with the BPA Privacy Policy. You are also welcome to review the BPA Terms of Service. If BPA is able to offer assessment services, you will be asked to review and agree to the applicable Terms of Service before those services commence.

 

Please Enter Your Own details Below

We will use the information you provide here to create your profile with Belconnen Psychological Assessments and to contact you about this enquiry.

If you are enquiring about an assessment for a child or adolescent, please enter your own details on this page rather than your child’s. You will be asked to provide the child or adolescent’s details separately on the following pages.

Patient Details

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