Counselling Intake Form 2023/2024
ACASS Counselling Intake Form

COSTS: All sessions are 60 minutes, 50 minutes face to face and 10 minutes for admin and are $156.
Provider travel will also be billed if you require on-site sessions, capped at 30 minutes and 30km.
NDIS reports/letter are also billable.

Please provide the following information and answer questions below. By providing this information, we will determine the level of care and support best suited to your current needs.

PLEASE NOTE: Information you provide here is protected as private and confidential.  


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