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Receive your first session fully bulk-billed (with a valid GP referral and Mental Health Care Plan) - get in touch with us to find out how!

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tranquil hearts psychology

Self-Referral Form

If you are new to Tranquil Hearts - welcome!

Please fill out the form to help us understand what's going on for you.

Full name

Date of birth * required

Email

Phone

Tell us a bit about your main concern

Current concerns

Have you previously received mental health support?

Indicate your availability for sessions (please note that Tranquil Hearts Psychology's current availabilities are Mondays, Tuesdays and Thursdays) * Required

Mondays (telehealth)

Tuesdays (telehealth)

Thursday (in-person)

Preferred method of contact * Required

Phone call

Email

GP Referral & MHCP (if applicable)

Upload file

How did you hear about us?

Thank you for reaching out for support. We'll get in touch with you in the next 24-48 business hours.

© 2024 Tranquil Hearts Psychology

A: 1/242 South Terrace, Bankstown, NSW, 2200

P: 0451 856 786 | E: tranquilheartspsychology@outlook.com

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