To make an appointment complete the enquiry form below and our friendly support team will be in contact within three business days (usually sooner).
If you have any trouble using this form don’t hesitate to call us on (03) 9376 1958 or email us here.
Please tick below to show that you understand the following:
I understand that IMCP does not provide crisis services or immediate appointments (please instead click here), court reports, one-off assessments or services via third parties (please click here)*.
These questions help us to match you up to the right team member. Some are optional, and some are required to make a booking.
Your first name*
Your mobile number*
As part of the booking process, we will get in touch with you via phone, email and/or SMS. If you’d prefer for us to not contact you via any of these methods, please indicate this below
Please do not call mePlease do not SMS mePlease do not email me
Your current address*
If your current address is not the same as the address you have registered with Medicare, please update your address with Medicare before your first appointment.
How did you hear about Inner Melbourne Clinical Psychology?*
Date of birth (day/month/year)*
Which location would you prefer? (You can choose more than one)*
KensingtonMelbourne CBDFitzroy NorthNo preference
Which days/times would you prefer? (You can choose more than one option)*Monday 9-4pmMonday 4pm onwardsTuesday 9-4pmTuesday 4pm onwardsWednesday 9-4pmWednesday 4pm onwardsThursday 9-4pmThursday 4pm onwardsFriday 9-4pmFriday 4pm onwardsSaturday 9-3pmNo preference
Is there a particular psychologist you would like to see?
Our Support Team will endeavour to match you with your preferred psychologist if their availability allows
Please tick the issue/s you would like help with (please select at least one issue)*
Of the issues above which one feels like the main issue, or the one you feel most concerned about?
When people mention drug and alcohol issues we ask a few extra questions. This information is really helpful in assisting us to figure out whether our clinic is the best place for you to get support.
If you have trouble answering these further questions, please just write "I don't know" and we'll be in touch with you to try to figure it out together.
Which substance(s) you are wanting assistance with?*
How often are you currently using this substance(s) per week?*
To book you in, we will need the following details about your partner:
Please be aware that if you do book an appointment with us, we will contact both yourself and your partner with appointment details and information.
Partner's full name*
Partner's date of birth*
Partner's phone number*
Partner's email address*
Partner's current address*
When clients mention an eating disorder we like to get a bit more information, such as, which eating disorder you are referring to and whether you are linked in with any other services such as a GP. It also helps us to know if this is the main reason bringing you in, or if there is something else that feels more pressing or concerning.
Please provide more information that will ensure that we are able to provide more specific recommendations for support.*
When clients mention anger management we like to ask a few extra questions to help us to figure out whether our clinic is the best place for you to get support.
Can you let us know more about the specific issues you are having with your anger?*
Has your anger ever resulted in you being violent? Please provide more information if so.*
Have you been diagnosed with psychosis by a GP, psychiatrist or other mental health professional?*
Please provide us with some information about who made this diagnosis and when this occurred?*
If you are currently seeing a psychiatrist, please provide their name and phone number.*
If you are currently taking medication, please let us know which type of medication and what dose you are taking.*
Please let us know if there is any other information that you think it would be helpful for us to know when matching you up with one of our psychologists.
Do you have a Medicare referral/GP letter/Mental Health Treatment Plan?
If yes, what is the name of your GP and/or your GP clinic?
What is the date of your referral or letter?
If you have already used sessions with another psychologist, how many have you used since 1st January this year?
If you are unsure about this you would need to speak with Medicare (Ph: 132 011) and bring this information along to your first session.
As an existing client, you can book your appointments online.
You can also book an appointment by filling out the form below.
Your first name*
Your mobile number*
Your psychologist's name*
Details of when you would like to book an appointment
Please do not complete a booking form if:
Unfortunately as a private practice we do not have the resources available to provide crisis services, immediate appointments, court reports, one-off assessments or services via third parties.