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Bookings & Fees

Client Booking Request Form

Name

First Name

Last Name

Contact Number

Date of birth

YYYY

Gender

Female

Male

Prefer not to say

What brings you to ERC today?

What has made you reach out for support?

What are some things you have been struggling with?

Be really specific. We want to be able to assist you as best as we can.

Have you had counselling before?

Please let us know if you had received support in the past.

Preferred session type:

In-home sessions are assessed on a client by client basis.

Face-to-face

Online Video

In-home (I come to you)

I understand this is not an emergency service.

Yes

I understand ERC does not provide a Medicare rebate for this service.

Yes

What costs to expect

Individual Counselling

1 hour* Online $80 | In person $100

Couples Counselling

1 hour* Online $130 | In person $150

(*All sessions run for 50 mins, but booked in 60 min blocks.)

Health Insurance Funds

I am an approved health fund provider with:

Bupa, AIA Health, Emergency Services Health, Frank Health, GMHBA, Mildura Health, Nurses & Midwives, Police Health, Teachers Health, UniHealth & Westfund.

Please check your level of health insurance cover to see if you qualify for a rebate.

Financial Hardship

I understand financial challenges can make seeking help seem daunting . If you are experiencing financial difficulty please reach out and we can discuss an affordable solution that fits your budget.

Counselling Package

We also offer session packages for those looking to embark on a journey towards emotional wellbeing.

Crisis and Emergency

Please be aware that Emotion Revival Counselling is not an emergency or crisis service. In the event of a mental health-related emergency please contact one of the following:

Family Doctor/GP
Ring 000 for emergencies (police or ambulance)
Lifeline: 13 11 14
Beyond Blue: 1300 22 4636
Kids Helpline (ages 5-25): 1800 551 800
Suicide Callback Service: 1300 659 467
Mensline: 1300 78 9978
The National Sexual Assault, Family & Domestic Violence Counselling Line: 1800 737 732
Sexual Assault Crisis Line: 1800 806 292
Sane Australia: 1800 18 7263 (https://www.sane.org)