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Join the Waitlist

Thank you for your interest in working with me. Completing this short form helps me understand a little about the support you are seeking and add you to my waitlist.

Your responses will help me consider your needs and contact you when an appointment becomes available.

If I am able to offer you an appointment, I will contact you to begin the onboarding process.

Your Details

Name*

Your Availability

Morning
Afternoon
Evening

How would you describe your current situation?

Please select the option that feels most accurate for you right now. This question helps me understand whether you would prefer to be considered for an earlier intake appointment; it is not a clinical or crisis assessment.

Priority client care
Routine client care

Important: This waitlist is not monitored continuously and is not able to provide urgent, crisis, or emergency support. If you need immediate help, feel unable to keep yourself or someone else safe, call 000 or contact Lifeline on 13 11 14.

Your data is protected and kept confidential.

By submitting, I agree to the Zero Tolerance Policy, Privacy, Safety & Data Care and Terms and Conditions.