To begin the process, please fill in the intake form below. Once you have done this, one of our admin staff will contact you to schedule your appointment. We will make every effort to get in touch with you as soon as possible.

Filling out the form helps us understand if we're the right fit for you. Once it's done, our team will call you to set up an appointment. This call is also a chance to ask any questions you have about our service. If we're not the right match, we can point you to other psychologists who might be better suited to your needs. Our goal is to make this process clear and helpful for you. Rest assured, any information you give us will be kept private.

Don't speak English? Our psychologist, Ghada El Zohbi, speaks Arabic fluently. Just let us know your language requirements when you fill out the form.

General Information

First Name *

Middle Name *

Last Name *

Preferred Name *

Date of Birth *

Age *

Gender *

Mobile Number *

Email Address *

Do you currently live in Australia? *

YesNo

How did you find out about us? *

Primary Language SpokenPlease specify here if you only speak Arabic or Urdu.

Specify Your Preferred Psychologist

Please Specify *

Ghada El Zohbi (Women's Mental Health - 18+ years of age)

Tell us more about your circumstances

Please note: at this point in time, our Psychologist, Ghada El Zohbi only provides individual therapy. We do not currently offer assessment services or complete reports for medico/psycho/legal purposes, nor do we see clients under Workcover/EAP/TAC/NDIS or other insurance funding except for Medicare, private health, and self-funded clients.

Please provide further clarification regarding the above *

What are your treatment goals?

Have you previously been diagnosed with a mental health condition? *

YesNo

Clarify *

Have you seen a psychologist in the past for these issues? *

YesNo

Have you been admitted in relation to mental health in the last 12 months? *

YesNo

Please provide further information *

Do the issues you would like to seek treatment for relate to any current or potential legal proceedings? *

YesNo

Please explain *

Your well-being is our top priority. In the interest of ensuring we provide the most appropriate support, we would like to ask: Have you been experiencing any thoughts or feelings that may pose a risk to your safety, including thoughts of suicide or self-harm? *

YesNo

Please explain to help us understand further *

**Please note**

We value your well-being and safety, and we want to emphasize that our service is not a crisis support platform. If you or someone you know is experiencing an immediate crisis or requires urgent assistance, please refrain from using our service as a means of emergency intervention.

In case of an emergency or if you need immediate support, we urge you to contact your local emergency services or a crisis helpline. Here are crisis service numbers for various states in Australia:

Victoria (Melbourne): Emergency Services - 000
- Lifeline Australia: 13 11 14
- Beyond Blue: 1300 22 4636
- Suicide Call Back Service: 1300 659 467
New South Wales: Emergency Services - 000
- Lifeline Australia: 13 11 14
- NSW Mental Health Line: 1800 011 511
Queensland: Emergency Services - 000
- Lifeline Australia: 13 11 14
- 13 HEALTH (13 43 25 84)
South Australia: Emergency Services - 000
- Lifeline Australia: 13 11 14
- Mental Health Triage: 13 14 65
Western Australia: Emergency Services - 000
- Lifeline Australia: 13 11 14
- Mental Health Emergency Response Line: 1300 555 788
Tasmania: Emergency Services - 000
- Lifeline Australia: 13 11 14
- Mental Health Services Helpline: 1800 332 388
Australian Capital Territory (ACT): Emergency Services - 000
- Lifeline Australia: 13 11 14
- Mental Health Triage: 1800 629 354
Northern Territory: Emergency Services - 000
- Lifeline Australia: 13 11 14
- Mental Health Line: 1800 682 288

Our service is intended to provide non-crisis support and information. If you require immediate help, please use the appropriate crisis helpline for your state. Your safety and well-being are paramount, and seeking help from trained professionals in times of crisis is essential.

We kindly request that you use our service responsibly and prioritize your safety and that of others.