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New Client Enquiry

Thank you for choosing Claire and completing this form it helps us prepare for your first appointment. Once complete we will be in touch to arrange best next steps.

Birthday
Day
Month
Year
Presenting Concerns
Preferred Day
Preferred Time

By submitting this form, you consent to being contacted by Claire or the clinic for the purpose of discussing appointment availability, suitability for services, and next steps. Please note that information submitted through this form is not monitored in real time and may not be reviewed immediately by a therapist.

This form is not a crisis support or emergency service. If you are feeling unsafe, in immediate distress, or are at risk of harm to yourself or others, please contact:


  • Emergency Services: 000

  • Lifeline: 13 11 14 (24/7 crisis support)

  • Suicide Call Back Service: 1300 659 467

  • NSW Mental Health Line: 1800 011 511


If you require urgent assistance, do not wait for a response through this form.

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