Image title

Complete Intake Form Below

Are you currently needing immediate care or in crisis right now? *

YesNo

Understanding Crisis

A crisis can manifest in various ways, including:

Suicidal Thoughts: Having thoughts of suicide and an intention to act on them within four weeks.
Self-Harm: Experiencing serious self-harm thoughts and intending to act on them within four weeks.
History of Attempts: Current suicidal thoughts combined with a history of previous attempts.
Housing Instability: Not having stable accommodation.
Present-Moment Challenges: Difficulty being present and feeling overwhelmed, leading to struggles in communication and logical thinking.
Threatening Situations: Being involved in life-threatening circumstances or domestic violence.

If you or someone you know is experiencing a crisis, it's important to seek help from a crisis professional or a support hotline. You’re not alone—support is available!.

The following agencies and numbers may be able to help in case of crisis:
Kids Helpline (for your child to use): 1800 551 800
Child and Youth Mental Health Services After Hours: 3716 8111
Brisbane Children's Hospital: 3068 1111
Parentline: 1300 301 300
13Healthchat: with a nurse 24 hours 13 432 584
Child Safety: A/H 3235 9999 / 1800 177 135
Child Health line: 3862 2333 / 1800 177 279
Disability Gateway: 1800 643 787
Lifeline: 131114
1300 MH CALL: Mental health access line: 1300 642255
Suicide Call Back Service: 1300 659 467
Beyond Blue: 1300 22 46 36
MensLine Australia: 1300 78 99 78
QLife (LGBTI): 1800 184 527
youthbeyondblue: 1300 22 46 36

Unfortauntely we do not provide Psychiatry services or issue medication at Happy Brain.

Are you enquiring for yourself or on behalf of someone else? *

Is this person a Child or Adult?

Are you the consenting adult with legal rights to seek assistance for a child or minor? *

Unfortauntely we are not able to talk to you about this person without written consent from a consenting adult. Please feel free to give us a call if you are not sure or wish to discuss this matter further.

Funding Type *

Unfortauntely we do not provide Bulk Billing services at Happy Brain

Please complete the profile questions for the person intending to receive the service

Please complete the profile questions below

Name *

Address *

Phone Number *

DOB *

Total score A

Total Score B

Total Score of A and B

Do you have any concerns or reservations about attending therapy?

Happy Brain Fee Schedule

Therapy

Clinical Psychologist $250 (50 minutes)
General Psychologist $220 (50 minutes)
Provisional Psychologist $160 (50 minutes)
Play Therapist $226.23 (70 minutes)
Mental Health Care Social Worker $193.99 (50 minutes)

Assessments
Psychological/ assessmentsrange from $1,700 - $3,200 (Not Medicare rebatable unless you have a referral from a Pediatrician or Psychiatrist requesting diagnostic assessment

NDIS Clients
Refer to the NDIS price guidelines here - https://www.ndis.gov.au/providers/pricing-arrangements

I agree to Happy Brain's fee schedule *

Please confirm the person completing this form is 18 years and older? *