$250 session fee payment form

  • Disclaimer and Consent

    All our services and your use of this website are subject to our Privacy Policy and Terms and Conditions.

    1. Privacy - Changes Psychology takes your privacy seriously. We work like a virtual clinic office, collecting and managing personal and medical information provided by you and your psychologist, which naturally includes sensitive health information. We collect, use and (where appropriate) share this information, which includes health information, in order to facilitate appointments with psychologists; manage payment, medicare and insurance claims; and manage records regarding your appointments. We manage your information in accordance with industry standards and applicable laws. Our handling of personal information involves storage and processing of some data overseas. For more about privacy, and who to contact if you have questions or complaints regarding privacy, see our Privacy Policy.

    2. Provider will not provide information, reports or documentation for medico-legal, custody related, parenting plan or family court related purposes unless we required to by law, under a subpoena or by a court order.

    3. Parenting plans - if there is a parenting plan in place we require the parent or person engaging the treatment to meet the all requirements of the plan, it is not our responsibility to share information with other parents or stakeholders.

    4. Information sharing - If you would like the psychologist to share and collect information about your child with your ex-partner/teacher/OT etc, we need written consent from you to approve this sharing of information with each individual.

    5. Confirming your first appointment booking - Fee paying clients consent to paying a $50 booking deposit (that will be $50 credit towards your first session) via the secure payment portal link to NAB that will be emailed through to you within 48 hours of receiving the email- your card details will be processed for the $50 deposit only and held for future billing of future psychology appointments within the NAB (National Australia Bank) Transact system, so no-one will view your full card details.

    6. Cancellation Policy - If you cancel with less than 48 hours notice, you will be charged the full session fee amount for the cancelled session. You will note be able to claim a Medicare rebate for cancellation fees.

    7. Payment for appointments will be taken via our online payment system NAB Transact where you card is collected, stored and used to pay for each session. By providing your card and signing this consent form you agree to this use of your card for all fees owed.

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