Register your contact details here, and our intake officer will contact you. * I am registering interest for myself (Client) I am a health professional referring a patient / client Client Name * First Name Last Name Client Phone * Client Email Do you have a Mental Health Treatment Plan from your GP? Yes No If you are a health professional: Your Organisation Name First Name Last Name Phone (###) ### #### Email Thank you for submitting your interest in our Cardiac Counselling Clinic! In the meantime, please see your GP to obtain a Mental Health Treatment Plan to access counselling. This can be faxed to 0394459296. Our admin is available on Mondays, Tuesdays and Fridays and will contact you as soon as possible. Thank you!
