Contact Us Name(Required) First Last Email(Required) Mobile Phone(Required)Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current Client or New Client(Required)Current ClientNew ClientPlease provide as much information about your enquiry below(Required)Please note that Minds & Hearts does not have the capacity to support acute risk and provide crisis care support. More information on crisis situations can be found herePurpose(Required)TreatmentAssessmentTraining/SupervisionHave you/the client or any carers been involved in past, current, or upcoming legal proceedings?(Required)(e.g; court matters, insurance claims/disputes, Centrelink/NDIS disputes, financial/work arrangements, family court proceedings, mandated custody arrangements, DVO, etc.)YesNoThank you for contacting Minds and Hearts, unfortunately we are unable to provide services where court related matters are involved. Professionals experienced with court related matters can be found via services listed on our Referral Assistance page. We sincerely apologise that we are unable to assist you in this instance.Please provide as much information about your enquiry below(Required)Please note that Minds & Hearts does not have the capacity to support acute risk and provide crisis care support. More information on crisis situations can be found hereWill you be travelling to the clinic from interstate or internationally?(Required)YesNo info@mindsandhearts.net