Self Assessment Form

As we are a private practice, our clinicians need to approve your referral prior to booking in to ensure they have suitable availability and expertise to adequately support you. If you do not wish to obtain a referral from your Medical Practitioner, we ask you to please complete the below form to allow our clinical team to accurately triage your referral.

If you require urgent support, please reach out to the Mental Health Helpline (1800 332 388) or Lifeline (13 11 14). You can also visit Safe Haven in North Hobart (10 Elphinstone Road) between 9am and 10pm 7 days a week. If in crisis, please visit the Emergency Department at the Royal Hobart Hospital.

Request an Appointment

Client Details

Complete the form below and one of our staff members will be in touch to arrange a time for your appointment.

Appointment Preferences

We will attempt to allocate a clinician that meets as many of your requested criteria as possible. We cannot guarantee that a clinician with all preferences will be available. 

We are not always able to offer suitable appointments at our practice. This can be due to current caseloads, unsuitable time frames, age of client, or presentation.

Payment Details

Please allow 5-7 business days for the processing of your self-referral. It will be forwarded to our clinical team for review and triage. If you have not received a response after this time, please call reception on 03 6124 2222 or email info@archerstreethealth.com.au to follow up the status.

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Our committment is to provide care to ALL our patients with minimal wait time