Intake Form

Please complete the following form as accurately as possible. All information collected in this form will be kept private and confidential, in line with the Privacy Act 1988 (Cth), the Australian Privacy Principles, and Mindswell Therapy’s Privacy Policy. By completing this form, you consent to Mindswell Therapy collecting and storing your information for the purposes of providing therapy and related services.

Please note: Information you provide will remain confidential except where disclosure is required by law (e.g., risk of harm to self or others, child protection concerns, or court orders).

All new clients, as well as returning clients who have not attended Mindswell Therapy for a period of 6 months, are required to complete the intake form at least 24 hours prior to their scheduled appointment. This helps us ensure we have the most accurate and up-to-date information to provide you with the best possible support.

Last reviewed: 06/09/2025 by Natalie Beach

Thank you for choosing Mindswell Therapy.

Therapy Done Differently.