Refer patients to us using this online form.Alternatively, you can call us on 0493 027 696 Client/Patient Details * First Name Last Name Contact Email * Contact Phone * Name and Contact Details of Support Person (if support is needed to arrange appointments, etc) Client/Patient being referred from/by (practice or organisation name) * Referral in relation to: * Individual Therapy Psychological Assessment or Report Couples Therapy Pre-Martial Coaching Preferred Psychologist? (See bio available on website for more info) Amelaine Uidam - Psychologist - Canberra (books closed until November 2025) Bronte Rodgers - Clinical Psychologist - Telehealth (Australia Wide) No Preference / I would be happy to see whoever has earlier availability for new clients Further message (if relevant) Required Acknowledgement * Please note that this is not a crisis support service. If the person you are referring seems in immediate danger, please call emergency services on 000. If they are experiencing a mental health crisis and require support, please call Lifeline 131 114, Kids Helpline 1800 551 800, or a relevant local mental health crisis team. I acknowledge this this not a crisis support service and my enquiry does not require emergency support. How did you find Good Health Psychology? * Select option Please select an option Professional Referral (e.g. from another psychologist or doctor) Personal Referral (e.g. from friend or family) Client/Patient Requested Psychology Today Website AAPi Website 'Find a Psychologist' Tool Social Media Pop-Up/Advertisement Social Media Personal Recommendation Google Other Thank you for your message! We will endeavor to reply to you within 3 business days.