This form is for new clients enquiring about Psychological Assessment and/or Psychological Therapy services at Vitality Unleashed Psychology.

A process used to better understand a person’s mental health, emotional functioning, behavioural patterns and psychological wellbeing. It is often undertaken for diagnostic clarification — exploring whether a mental health condition may be present, understanding current symptoms, or clarifying how different difficulties interact with one another. Psychological assessment always involves psychological consultation/s and may involve standardised (free or paid) questionnaires or screening tools. It does not involve a full psychometric testing battery or a comprehensive psychometric report, however these services can also be completed on request where clinically indicated by us.

Therapy involves working collaboratively with a Psychologist to address emotional, psychological or behavioural concerns. It may focus on understanding patterns, developing coping strategies, improving wellbeing, processing experiences, or supporting personal growth. Therapy can be provided with or without a formal diagnosis — some people seek therapy following diagnostic clarification, while others engage in therapy even when their mental health is generally stable and no diagnosable condition is identified.

This form allows us to understand the nature of your request and to determine whether an initial psychological consultation with us is appropriate. Following review of your enquiry, we will contact you via your preferred method to provide further information and advise on next steps.

This form is for individuals enquiring about psychometric testing services at Vitality Unleashed Psychology.

Psychometric testing is a structured assessment process that may be used to explore areas such as cognitive functioning, learning, attention, neurodevelopmental concerns, personality functioning, or diagnostic clarification. Detailed information about our testing services and how the process works is available on our Psychometric Testing page, and we recommend reviewing that information before submitting an enquiry.

It allows us to understand the nature of your request and to determine whether an initial psychological consultation is appropriate. All psychometric testing requests require an initial consultation before any testing is discussed in detail, quoted, or commenced. Psychometric testing does not proceed without this initial assessment and completion of the clinic’s intake and psychometric testing consent forms.

After reviewing your enquiry we will contact you via your preferred method to provide further information or advise on next steps. If appropriate, you may then book an initial testing consultation online or via SMS request. Bookings are only confirmed once the required intake and consent documentation has been completed by the Client, or by the appropriate legal authority where applicable.

We know that taking the first step to book an appointment isn’t always easy.

This form is for new clients who would like to request an initial appointment with one of our psychologists or our dietitian, but who prefer not to book online or need a little extra support with the process.

If you feel comfortable booking online, that remains the fastest way to secure an appointment. If not, we’re here to help you take that first step.

This form is for Clients or authorised third parties to request the completion of a form, letter, or psychological report by a Psychologist at Vitality Unleashed Psychology.

Requests may include, but are not limited to, university or education forms (such as exam adjustments, extensions or special consideration), letters supporting academic, occupational or personal circumstances, NDIS or Disability Support Pension documentation, insurance or WorkCover documentation, and psychological reports for non-psychometric purposes.

Submission of this form does not guarantee that the requested form, letter or report can or will be completed. All requests are clinically reviewed to determine whether it is appropriate for the Psychologist to complete the request, whether sufficient clinical information is available, whether additional appointments or assessments are required, and the estimated time involved. In some circumstances it may not be appropriate for the Psychologist to complete the requested documentation.

Completion of forms, letters and reports involves clinical time and is a billable service. Depending on the nature of the request this may include time spent reviewing documentation, drafting and finalising the document, and additional psychological consultations required to gather relevant information. This is particularly important where the requester is a new Client, or where further clinical assessment of an existing Client is necessary. Where documents must be reviewed to complete the request, document review fees apply and form part of the total cost.

Requests for reports or letters for legal purposes must be submitted via the Client’s lawyer, with clear written instructions outlining the scope of the request and the specific questions to be addressed. Usually the Client’s lawyer will have this pre-written in a letter addressed to us.

After submission the request will be reviewed to determine whether it can proceed. If appropriate, an estimated fee will be provided. You will then be issued with a Form, Letter or Report Request Consent Form and an invoice (both emailed via our Client Management System), which must be paid in full before work commences. If additional time is required beyond the original estimate, any outstanding balance must be paid in full before the completed document is released.

You must upload all relevant documentation to support your request — such as the required form template (if your request involves its own template, e.g. a University form), instructions or guidelines from the requesting organisation where applicable, and any relevant correspondence or supporting material. Incomplete requests or missing documentation may delay review or result in the request being declined.

This request process does not apply to routine Provider Management/Treatment Plans (e.g. by MAIC or WorkCover), which are completed as part of standard clinical care and are not billed separately.

Use this form to securely submit formal funding pre-approval documentation for psychological services (e.g. initial psychological assessment consultations, psychological therapy, clinical assessment, psychometric testing, psychological reports) and dietetics services (e.g. initial and subsequent consultations, meal plans, reports).

Please ensure the approval documentation clearly outlines the approved services, funding limits, validity period, and any billing conditions.

If you have not received the Medicare rebate/s for any of your attended appointments into your or the Claimant’s bank account, please check the following before completing this form:

If you are still of the view that you should have received your Medicare rebate and have not, please proceed with the form below. We can then check our client management system to identify why the rebate has not been received, and will email you the outcome within 2 business days.

This form is for requests relating to confirmation of attendance at appointments held with Vitality Unleashed Psychology.

Confirmation of attendance may be requested by a Client for their own records, or in limited circumstances by a parent or authorised party where appropriate consent and legal authority exist. Attendance information can be provided in different formats depending on the purpose of the request.

Where a Client is requesting their own attendance history for personal use, an exported list of attended appointments may be emailed directly to the Client. This option does not involve the preparation of a letter and does not include clinical commentary.

We are required to assess whether the Client is legally and clinically able to consent to the release of their information. This includes consideration of whether a Child Client is assessed as a Mature Minor.

If a Client is deemed to be a Mature Minor, we require the Client themselves to request confirmation of attendance. We do not obtain or chase consent on behalf of parents, guardians or third parties in these circumstances, and we do not release attendance information based solely on a third-party request.

For Child Clients who are not Mature Minors, confirmation of attendance may be requested by a parent or legal guardian, provided there are no Court Orders or Parenting Orders restricting access to the Child Client’s medical or psychological information. Where such orders exist, attendance information may only be released following a request from the parent who holds legal authority, or where appropriate written consent and documentation have been provided.

A case conference is a planned, collaborative meeting between the Client’s treating clinician (psychologist and/or dietitian) from our clinic and other relevant external professionals involved in the Client’s care — for example a GP, psychiatrist, dietitian, school staff, support coordinator, insurer, or legal representative.

Submitting this form allows you to request consideration of a case conference involving psychology and/or dietitian services. Approval and scheduling will be confirmed after review.

Use this form to request the release of clinical records, reports, or relevant information from your file to a third party, such as a GP, specialist, school, workplace, insurer, or other health professional.

Requests for file release must be made by the client, or by a person with the legal authority to act on the client’s behalf. Appropriate written consent and full payment of the invoice is required before any information can be released.

Please note that file releases are subject to professional, ethical and legal obligations, including privacy legislation and clinical judgement regarding what information is appropriate to share. Some requests may require clarification, and processing timeframes may vary depending on the nature and volume of the information requested.

Once submitted, your request will be reviewed and actioned in line with our clinic’s policies. Once authorised, we will email you a File Release Consent Form to complete along with an invoice for payment. The total fee invoiced before the file is released will be determined by the size of the file to be released.

This form is for existing clients who would like to request a follow-up or ongoing appointment with their psychologist or dietitian, but who prefer not to book online or need assistance with scheduling.

This secure form allows clients, parents or legal guardians, and authorised third parties to upload documents relating to psychological care at Vitality Unleashed Psychology.

Documents may be submitted for inclusion on file only, or for professional review by your psychologist. Please note that review of documents outside scheduled appointment time involves clinical time and may be billed in accordance with our current fee schedule. Where applicable, you will be advised before review proceeds.

All information submitted via this form is encrypted and handled in accordance with the Australian Privacy Principles (APPs). Uploaded documents are accessed only by authorised clinicians and administrative staff.

Submitting documents through this form helps ensure your information is received securely, clearly identified, and directed appropriately — reducing delays and unnecessary back-and-forth communication.

If you are not the Client and do not have the Client’s knowledge and informed consent to provide information relating to them, please do not submit documents or other information via this form or by any other method.

Documents submitted by a third party may be added to the Client’s clinical file and may be disclosed to the Client in accordance with professional, ethical and legal obligations. Documents submitted without the Client’s consent may not be reviewed, relied upon, or acted upon.

This form is for clients and authorised third parties to update contact details held by Vitality Unleashed Psychology.

Clients may use this form to update their own contact information, such as an email address, phone number, or postal address. Third parties (for example referrers, legal representatives, or other professionals) may also use this form to notify us of changes to their own contact details where they are involved in a Client’s care or correspondence.

If you are an existing client and wish to be added to your practitioner’s wait list, please complete the form below.

You are welcome to check our Book Online system periodically to see what appointments become available that may suit your preferences.

Want to stay in the loop? If you’d like to hear from us occasionally, you can join our mailing list to receive clinic updates, helpful resources, and information we think may be of value.

We keep our communications thoughtful and minimal — no spam, no pressure. You can unsubscribe at any time.