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02 4040 3140

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Contact

Clinic Hours

By Appointment

Monday – Friday 9am – 5pm

Phone: 02 4040 3140
Fax: 02 4040 3053

reception@gearinguppsychology.com

Lorn Clinic

http://lornsurgery.com.au

21 Belmore Road, Lorn, NSW, 2320, Australia.

Lorn

Get in touch.

If you have a question that has not been answered in the FAQ or would like to enquire about making a referral then please send a message below.

Who’s Filling Out This Form Today?

Your First Name *

Your Last Name *

Email Address *

Phone Number *

Who is the support for?

This referral is for:MyselfMy childSomeone else

What is your relationship to the person seeking support?

First Name

Last Name

Date of Birth

What type of support are you requesting?Assessment (e.g., cognitive, adaptive, intellectual)Therapy (e.g., cognitive behavioural therapy)Something else

How can we help?

How is the support being funded?PrivateMental Health Care Plan (Medicare)DVA - referral from GPWork cover or CTP insuranceOther (specify below)

How is this support going to be funded?

What are the main reasons for the referral?0 / 180

Please do not fill in this field.

Gearing Up Psychology, providing expert mental health support to Maitland, Lorn & the Hunter.

Maitland Psychologists

Gearing Up Psychology Pty Ltd.
ABN: 65621303624

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