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Full Name

Email

Phone Number

Are you interested in

Couples Therapy or
Individual Therapy ?

Individual Therapy

Couples Therapy

Which of the following challenges have you been experiencing (mulitple selections can be made) * Required

Depression

Trauma

Anxiety

OCD

PTSD

Substance Use

Addiction

Burnout

Borderline PD

Stress

Relationship Issues

Child Anxiety

Child Depression

Child Behavioural Issues

Autism/ASD

ADHD

Bipolar

Eating Disorder

Postnatal Depression

Grief and Bereavement

Pain Management

Phobias

Anger management

Work Stress

Sleep Issues

Panic Attacks

ADHD Assessment / ASD Assessment

Fee options

I am able to pay the full-fee cost of $65 out of pocket per session after the medicare rebate

I require bullk-billing due to financial hardship (please note: some experienced clinicians do not offer bulk billing)

I won't be using a Mental Health Care Plan

Clinician Professionals

Ric Collen

Clinical Psychologist

Ric Collen

Clinical Psychologist

Ric Collen

Clinical Psychologist

Ric Collen

Clinical Psychologist

Ric Collen

Clinical Psychologist

Ric Collen

Clinical Psychologist

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Contact Info

ph: 1300 311 591

email: hello@harvestclinic.com.au

fax: (07) 3607 2456

Office hours:

Monday - Friday:

10am-12pm AEST & 4pm-6pm AEST

© The Harvest Clinic 2025. All right reserved

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