Referring professionals

Refer a client

Fill in what you know. You don't need a formal diagnosis or a complete picture: if you think identification or therapy might help your client, that's enough.

No referral letter is required for private clients. GP referrals and Mental Health Care Plans are accepted and welcomed.

Learn More

Submit this form

We confirm receipt by email

We contact your client within 2 business days

Report sent to you post-assessment, with consent

YOUR DETAILS

Your Name

Practice or Clinic

Your Email

We'll confirm receipt here and send the post-assessment report if consent is given.

Your Role

CLIENT DETAILS

Client's Full Name

Date of Birth

Phone Number

Email Address

At least one contact detail (phone or email) is required.

Preferred Contact Method
PhoneEmailSMS

REFERRAL DETAILS

What are you referring for?
Autism assessmentADHD assessmentNeuropsychological assessment(dyslexia, dyscalculia, cognitive)TherapyNot sure, please advise

Presenting Concerns and relevant background

Attachments

GP referral letter, Mental Health Care Plan or previous reports, if you have them.

Funding
PrivateMedicare MHCPNDISDVAUnsure

CONSENT

My client is aware of this referral and has consented to being contacted by MindKit.

My client consents to a post-assessment report being sent to me.

Information submitted here is handled in accordance with the Australian Privacy Principles and used only for the purpose of coordinating your client's care. For questions, email
hello@mindkit.com.au.