Information Exchange Consent Form

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Hereby give my/our permission for the free exchange of information, including Confidential reports and verbal consultation regarding myself/us/my child:
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Between:
Perth Psychological Services
481 Fitzgerald Street
North Perth WA 6006
08 9443 3709
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On the understanding that all information will remain confidential.
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Contact Us

Locations

  • Victoria Park
    7/76 Canning Highway
    Victoria Park WA 6100

  • Subiaco
    Homebase Business Centre
    Ground Floor 55 Salvado Rd
    Subiaco WA 6008

  • Mandurah
    Unit 1/33 Davey Street
    Mandurah WA 6210

Services

  • Autism Spectrum Disorder
  • Neurodevelopment Assessments
  • Depression
  • Anxiety and Panic
  • Self Esteem
  • Relationship Issues
  • Family Concerns
  • Parenting
  • Adolescent Behaviour
  • Childhood Trauma

  • Post Traumatic Stress

Services

  • IVF & Reproductive Issues
  • Work-Related Stress and Career Issues
  • Substance Misuse and other Dependencies
  • Postnatal Depression
  • Gender Identity
  • Chronic and Terminal Illness
  • Grief and Loss
  • Bereavement
  • Health and Well-Being

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