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Initial Consultation
Booking Form
Important: urgent or crisis support
Cocoon Clinical Psychology is a scheduled outpatient psychology service and does not provide emergency or 24-hour crisis care. If there is an immediate risk of serious harm, please use emergency services rather than waiting for a response from Cocoon. If you or the person being referred needs immediate emergency help, call 112 or 999 or attend the Emergency Department of your nearest hospital. For urgent mental-health support you can also contact your GP, out-of-hours GP service, or an existing mental-health team.
24-hour support is also available from:
- Samaritans: 116 123
- Pieta: 1800 247 247 or text HELP to 51444
- Text About It: text HELLO to 50808
- Childline: 1800 66 66 66 (For children and youth)
- Women's Aid: 1800 341 900 (Domestic abuse support)
- Rape Crisis National Helpline: 1800 777 888 (Sexual assault support)
- Crime Victims Helpline: 116 006 [1, 2, 3, 4]
You do not need to know which assessment or service is right for you before making a referral. This short form gives Dr Jill Woods some initial information about what you are looking for. For most new assessment referrals, the next step is an Initial Consultation & Planning Appointment before any screening or full assessment is arranged. Please provide only the information needed to help us understand your enquiry at this stage. More detailed clinical information, questionnaires and previous reports can be requested securely later where relevant.
Previous reports do not need to be uploaded with this referral. If a report or other document would be useful, Cocoon will provide instructions for sending it securely as part of the assessment or screening process.
Client Information
Submitting this form does not commit you to assessment or therapy. Cocoon will use the information provided to help determine the most appropriate next step.