I'm a new patient - Altitude Mind Clinic

How to Book Your First Appointment

Prior to booking your first appointment with Altitude Mind Clinic please fill out the form below and attach your referral letter from your GP. This will be reviewed by our administration team and you will be contacted within three business days with instructions on how to book your appointment. Please ensure you read our clinic policies before submitting your form.

Read Clinic Policies

New Patient Enquiry

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Please ensure you have a valid referral from your general practitioner when booking your appointment. If you do not have a GP referral, you may not be eligible for a Medicare rebate.

Name*

First Last

Email*

Phone*

Address*

Street Address City State Post Code

Please upload a copy of your referral:*

Max. file size: 64 MB.

How can we help?*

Thanks for getting in touch. Is there anything else you want to tell us?

Signature*

I have read, understood and agree to Altitude Mind Clinic’s clinic policies as outlined on the website.