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Referral Form

Our Service:

NeuroBeyond is a counselling service that supports neurodivergent and/or LGBTQIA+ adults and young people (16+), their families, friends, and communities, face-to-face in Bowden (Adelaide, South Australia) and Online (Australia-wide). We are a fee-for-service that aims to make our counselling services as affordable as possible. We offer reduced fees for full-time students, pension and healthcare cardholders, and are a service provider for the National Disability Insurance Scheme (self-managed and plan-managed participants).
 

Internet and Phone Connection:

To access our online counselling services, clients require a fair/good internet or phone signal (4G or higher). Clients can test their connection by running a video diagnostics test here (please note that clients book an online session, are provided the test link and guide to using Cliniko's telehealth before their first appointment). 

 

Referral: 

If you are supporting someone to connect with our counselling service and would like to make a referral on their behalf, please complete the referral form below.

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Financial Hardship:

If the referee/person is experiencing financial hardship and is seeking/would benefit from neuroaffirming and LGBTQIA+ affirming counselling, please provide brief details in the 'Additional information' section of the form. We are more than happy to discuss fee options that align with their personal circumstances. 

Referral Form


Client's Details

Preferred method of contact

Referral Details

incl. your name, contact details, connection to client, and where you are from (if from a service provider)

e.g. information the client would like us to know, or if they are eligible for reduced fees

Consent

Telling stories in ways that make us stronger
~ Aunty Barbara Wingard

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We acknowledge the Traditional Custodians and Owners of the lands, seas and skies on which we work, learn, grow and live. We pay our respects to All Elders past and present and recognise that their sovereignty was never ceded. 

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Visually Safe Disability Pride Flag

We are committed to diversity and inclusion; equity and accessibility are woven into everything we do. We honour living and lived experience, and celebrate people of all backgrounds, ages, genders, sexualities, cultures, minds, bodies and abilities.

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Contact Us

NeuroBeyond 

ABN 58 749 368 281​​

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Locations

54 Gibson St

Bowden SA 5007​

Online (Australia-wide)

 

Phone

0477 737 264

Email

contact@neurobeyond.com.au​

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