JUNE 2023 UPDATE

A number of our psychologists are either on sabbatical, maternity leave, or working part time. This means there may only be a small number of assessment and therapy appointments available. If you are interested in an assessment or therapy appointment, please email reception@lizettecampbellandassociates.com.au, or complete the form below and we will get back to you as soon as possible as to whether we can assist.

A referral form for ADULTS can be filled out below. A referral form for CHILDREN can be filled out at this link.

We are unable to offer alternative recommendations when we do not have information about you. Please discuss alternatives with your referring doctor. The Australian Psychological Society has a Find A Psychologist feature, as does The Australian Association of Psychologists inc.

We are unable to accept urgent or crisis referrals for counselling. In emergencies please contact one of the following:

Beyond Blue

Lifeline

For other enquiries please feel free to email us at reception@lizettecampbellandassociates.com.au

Adult Referral Form

Name

First Name

Last Name

Date of Birth

Residential Address

Contact Phone Number (Business Hours)

Email

Referred / Recommended By

(Eg Name of GP / Friend)

Please provide a brief description of the issues of concern:

Please indicate what intervention or assessments have already been undertaken:

What are you seeking from this referral?

If other, please specify: