Request to work with Suzanne Herrity- IFS Therapist & Integrative Therapist

USEFUL INFORMATION BEFORE REQUESTING AN APPOINTMENT:

Thank you for requesting to work with me. Please complete the details below and I will be in contact with you soon.

Initial Consultations are available from June 2024 
Appointments with me are availabe online - AEST - Australian Eastern Standard Time 
In Person sessions are available in Upwey, Victoria 3158

I am either available for 
- a short telephone discussion regarding our possible work together
OR
- an initial consultation to see if we are a good fit to work with each other - cost is $150

For those interested in IFS Psychotherapy/ Integrative Psychotherapy

Please note that during this time I am not available for short term or infrequent IFS exploration as a model. 

My interest in IFS and Psychotherapeutic work is one that fosters a therapeutic relationship between the individuals.  With this in mind my intention is to support you as you navigate your internal world with the support of IFS and other forms of Integrative Psychotherapy. I believe that this can be possible if we form a relationship that fosters trust, openess and connection which can take time to develop.

For those interested in Psychedelic Care/Sound Therapy/Breathwork

Please let me know about your specific interest in this way of working so we can discuss the amount of sessions that are generally helpful when working in this way

Sign in to Google to save your progress. Learn more
Email *
Please include your name, contact number, email and when would be generally a good time to give you a quick initial call (no longer than 20 minutes)  *
Please include your location/city *
Please indicate the support you are looking for  *
Required
If you are looking for support with Psychedelic Integration please outline if you are looking for support with preparation , integration or other forms of care relation to Psychedelic Therapy *
Please indicate your client status with me *
Required
Are you a Counsellor, Psychotherapist, Psychologist or Social Worker  *
Required
If you are any of the above please indicate your intention for reaching out at this point *
Required
I wish to avail of sessions that are *
Although there may be a number of concerns you are facing right now please indicate which of the following are dominant that you would like to address *
Required
I have a mental health diagnosis and have worked with a psychiatrist in the past or currently  *
Required
Are you 21 years old or over? *
I dont offer Medicare Rebates or Bulk Billing for my services. 

I only work with adults

I do not offer services or appointments related to Workers Compensations Claims. 

I do not offer cognitive behavioural therapy or short term solution focussed work 

If you are looking for private healthcare rebates please check your cover with your provider.  I am registered for rebates with AHM and Medibank private if you are seeing me for Psychotherapy. I have no plans to register with other providers in the future
*
Required
Does your financial situation support you enough to pay fees 

Initial Consultation: $150
Weekly/Fortnightly Sessions: $150
Book as you go Sessions: $190

Sound Therapy, Breathwork and Psychedelic Integration Prices avaialble upon request
*
Required
If you answered no to the above question please give as much detail as you can about your circumstances that way I can determine if I can support you in any way. For example if you are employed part time, full time, on a benefit, how often you want to attend sessions and the amount that you can pay per session. *
Please indicate what you are open to with regards to appointments with me 


*
Please indicate days of the week that suit you for an appointment in general

My last appointment of the day is 6.30pm (which is high in popularity). 

Current Time zone is AEST - Melbourne Victoria 
*
If your required day is not available at the moment are you happy to join my waiting list and I will make contact with you when there is availability *
Please indicate if you would like to subscribe to my email list to be notified on current workshops, events and opportunities to work with me  *
I am willing to wait until June for an appointment and understand that you are on leave in May 2024  *
If there is any other information you would like me  know please include here *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sanctuary of Sound Perth. Report Abuse