Bookings with Bita Psychology

Please use this form to request an appointment. I will ring you back within a day to confirm. I don’t keep any wait-list and I offer a time when available. You can ring 0433 781 919 if you prefer.

Your Contact Details:

Your information will be handled according to privacy and confidentiality requirements.

I will leave a voice message if I can’t reach you.

By submitting your information, you’re giving me permission to email you.

Preferred appointment time (Mondays to Thursdays) : (required)

Do you have a valid referral? (See checklist under Fee)