Intake Forms
Please Click on the intake form that applies to you the most:
If you’re paying out of pocket for therapy (including if you intend to claim with Medicare or Private Health):
If your sessions will be funded by NDIS:
If you’re funded by VocFAS, WorkSafe or another third-party funder other than yourself.
TIF Participant Intake Form - No CC
If you are a clinician or mental health professional seeking supervision:
If you are receiving free counselling as part of the Manaya Pride Program (LGBTIQAP+ asylum seekers, refugees and forcibly displaced people):
When you click on a link, it will take you to our online platform Halaxy to complete the form.