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If you have experienced distress to the level that you are hurting yourself, thinking about hurting yourself and are in imminent danger to yourself, speak to your treating doctor and/or present at the emergency department of a hospital immediately.  In an emergency dial 000 or in a mental health crisis call Mental Health Triage on 131465.

The information in this form will be used to determine whether Glowing Minds Psychology is an appropriate service for you. If we are unsure if we are the right fit, we will reach out to you to gather more information. Your completion of this form indicates your understanding and agreement to the way we will use this information.