Psychology Clinic appointment form

Please note, the Adelaide University Psychology Clinic is not a Crisis Centre. If you require immediate assistance, please call the Mental Health Triage Service on 131 465 or Lifeline on 131 114. These are 24-hour services. 

Please note, students cannot see clients in relation to WorkCover claims, reports for Centrelink or Court Reports. 

If you are unable to complete these details, please call us on 8302 4875. Voicemail messages can be left if receptionist is unavailable.

If client is not completing this form

Referrer full name

Referrer email

Referrer phone number

Relationship to client

For child clients: Do all legal parents/guardians agree to this referral?

Other information

How did you find out about us?

The waiting times for appointments can vary depending on what service is required and what day/s you or the students are available. Appointments may be triaged according to student’s capabilities and training needs. We will contact you as soon as possible to advise whether an appointment is available. 

Your privacy is important to us. Information you supply will be handled strictly in accordance with our Privacy Policy.

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Psychology Clinic appointment form

Client details

Home address

If client is not completing this form

Other information

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