Client Forms

Click on the links of the form to open it up into a new tab for completion. If paying privately please contact reception on 03 5962 6490 to arrange payment.

New Client Form

Please complete and submit this form if you are a new client.

Telehealth Consent Form

Please complete and submit this form after you have attended your Telehealth session:

Telehealth Attendance Form

Please complete and submit this form after you have attended your Telehealth session if you are paying for your session privately, or if a third party such as VOCAT, Workcover, TAC, NDIS is paying for your service.
For privately paying clients, fees and rebates information is available on the Fees and Rebates page of our webpage.

Telehealth Bulk Bill Attendance Form

Please complete and submit this form after you have attended your Telehealth Bulk Bill session. As a private psychology clinic, KWC does not, in general, provide bulk billing services to clients. If you are experiencing financial distress please talk with your clinician about eligibility.

Please complete and submit this form after you have attended your Telehealth Bulk Bill session: