Self Assessment Form

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