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Free 15-min Consult

Home
Our Team
Services
Fees
Community
Resources
FAQs
Contact
Free 15-min Consult

Contact Us

Book an Apointment

Our Contact

Our clinic is located at:

1 Potts St,
East Brisbane QLD 4169

Phone: 07 21157803

Parking is available on site.
Ramp access is available to enter the clinic.

Send Us A Message

Given Name

Surname

Email Address

Phone

Interest in (optional)

What types of groups are you looking for?

Are you enquiring as a client or health professional?

Profession

Do you have a preferred supervisor from our team?

What goals do you have for supervision?

Message

Book An Appointment

You do not need a referral to see our clinicians. If you would like to make an appointment, please complete this booking form and our client care team will be in contact with you.

First Name

Last Name

Phone

Address

Purpose of Booking

Are you enquiring for yourself or your child?

Date Of Birth

Child’s Name 

Child's Date of Birth

What are your main concerns/reason for referral?

PERINATALPERINATALPregnancy anxiety or stressBirth traumaPerinatal depression or OCDAttachment-related concernsIVF, TTC, and donor-related issuesPerinatal grief or lossAdjustment to parenthoodInfant feeding, sleep, or bonding concernsFather–infant bonding concerns

CHILD & ADOLESCENTCHILD & ADOLESCENTSeparation anxietyBehaviour or emotional regulation difficultiesChild sleep issuesFeeding or sensory-based food avoidanceDevelopmental or early social concernsAnxietyOCD symptomSchool avoidance or refusal Attention or learning concerns (including ADHD)Social anxietyFriendship difficulties PerfectionistBullyingLow mood or depressionEating or body-image concerns Identity or self-esteem concernsFamily conflict

PARENT & CAREGIVER WELLBEINGPARENT & CAREGIVER WELLBEINGParental stress impacting mental healthAdjustment to the demands of parentingParenting-related anxiety or overwhelmDifficulty balancing parenting with work or personal responsibilitieMental-load fatigueSupporting a partner with mental health difficultiesStrain within the parenting relationship

AssessmentsAssessmentsADHD assessmentAutism assessmentCognitive or learning assessmentSocial skills assessment

Current Diagnoses

Collectively how long have you been seeing your psychologist/psychiatrist? 

Are you currently taking any medications? If so, please list below 

Have you had previous admissions to a psychiatric hospital?Have you had previous admissions to a psychiatric hospital?YesNo

Have you seen a psychologist beforeHave you seen a psychologist beforeYesNo

What days suit you best for appointments? What days suit you best for appointments? MondayTuesdayWednesdayThursdayFriday

What time suit you best for appointments? What time suit you best for appointments? MorningAfternoon

Guardian/Carer Name (if applicable)

Guardian First Name

Guardian Last Name

ASSESSMENTASSESSMENTADHD/Executive FunctionAutism (ASD)Cognitive AbilityAcademic Achievement/Learning DisabilityOther

Do you plan to apply for the NDIS after an assessment?Do you plan to apply for the NDIS after an assessment?YesNo

Specialist ReportsSpecialist ReportsYesNo

Other Care ServicesOther Care ServicesPsychiatryOccupational TherapySpeech PathologyPsychology

School ReportsSchool ReportsYesNo

How did you hear about us?

We welcome referrals from GPs, paediatricians, psychiatrists, schools and allied health professionals. Professionals can refer directly via Medical-Objects, or contact our client care team directly.

Our Services

Psychological Therapy
Neurodevelopmental Assessments
Group Therapy
Seminars
Professional Supervision
Event Speaking and Training

reception@foundationscentre.com.au

1 Potts St, East Brisbane QLD 4169

07 21157803

Foundations Perinatal and Child Psychology Centre acknowledges the Traditional Custodians of the land on which we work. We pay our respect to elders past, present and emerging.
We are a proudly inclusive organisation and an ally of the LGBTQIA+ community.

A flag with a black upper half, red lower half, and a large yellow circle centered in the middle.

A blue flag with a white Dhari headdress and white star in the center, bordered by green and thin black stripes.

The Progress Pride Flag featuring rainbow stripes with a chevron of black, brown, light blue, pink, and white on the left side.

SITE DESIGN BY LOLLIPOP CREATIVE.