Thank you for your interest in working with our team. In order to ensure we provide the most efficacious support for you and those you care about, we need to ensure we have accurate information and your permission to retain all data you share. We make every effort to streamline our processes and at the same time remain within our professional ethical boundaries.
If you have been directed to this page then we would need some information from you, about you and/or your family. Please select the link to the correct age- and support service-relative form below, complete all fields, and be sure to select the therapist of your choice before you submit the form.
Should you have any difficulties, please reach out to our team on flourish@psynamo.com and someone will get back to you as soon as practicable. Clinic opening hours are 9am-6pm from Monday to Friday and 10am to 2pm on Saturday’s. We are closed on Sunday’s and all public holidays.
INTAKE/CONSENT FORMS FOR INDIVIDUALS
Child (B-9) Intake & Consent Form
Adolescent (11-17) Intake & Consent Form
Adult (18+) Intake & Consent Form
INTAKE & CONSENT FORM FOR COUPLES AND FAMILIES
Couple/Family Member Intake & Consent Form
ASSESSMENT INTAKE FORMS – This section is still being updated. Please bear with us.
CHILD ASSESSMENT INTAKE & CONSENT FORM
ADOLESCENT ASSESSMENT INTAKE & CONSENT FORM
ADULT ASSESSMENT INTAKE & CONSENT FORM
OTHER FORMS
This section is still being updated – please bear with us.