Clinician: Dr Amelia Shay PhD in Developmental Psychology from the University of Queensland Registered Psychologist Terms and Condition Below are some important information that you would need to know before commencing therapy. Please read these carefully and let me know if you have any questions. Fees Our clinicians (both generally registered and provisionally registered) are all experienced and highly trained psychologists. Our charges are as below. Our current fees are $230 to see Goffrey and $250 to see Dr Amelia. Couple sessions are charged as $280. Each session is 50 minutes long. Initial appointment with a provisionally registered psychologist is $240 and any subsequent appointment will be $150 during the week and $200 on a weekend. Appointments are 50 minutes long. Medicare rebate A Medicare rebate of $88.25 is available if you bring a Mental Health Care Plan from your GP. If you donβt use Medicare, you might also be able to use your private health insurer support, but you need to check with them as each insurer has their own policy. Please note that it is a Medicare Fraud to use both Medicare and private health insurance for the same invoice. There will be no Medicare rebate for a session with a provisionally registered psychologist. NDIS Fees NDIS supported clients are charged $214 per session for a provisionally registered psychologist, or full fees with a senior psychologist. Please note that assessments are charged separately, we will discuss the fees with you before sending you any assessments. Confidentiality Confidentiality is an important part of my job and I take it very seriously. It means that what happens during our sessions will be kept confidential and will not be revealed to other persons or agencies without your written consent. The only times I am obliged to provide information would be when mandated by State and Federal statutes or by court order. I am also professionally bound to inform relevant parties about your situation and to take measures to protect your welfare, and/or the immediate welfare of others, where your or their safety is threatened. Couples' confidentiality If you come to me as a part of couple therapy, for most sessions you will be together with your partner. If you come alone, next time that I see your partner I will give them a general summary of what we have discussed when they were not there. However, if you would like to share something confidentially with me you can, but please let me know so that I do not bring that up in front of your partner. While I don't like you to keep secrets from each other, sometimes the way we feel is not healthy for our relationship, and the way to solve it is to discuss it with your therapist but not your partner, so it's natural to keep some information confidential. Please do not hesitate to ask me either before or during our session(s) if you have any questions regarding confidentiality. Record Keeping I am required to keep appropriate records of the clients who seek a service from me and our sessions together. These records are brief and contain information about your contact details, appointment and billing history, reasons for presenting, what we talk about/do in our sessions, any reports or documents we have received about you from other service providers, and assessments of your progress during therapy. The records are kept online on a secure professional practice database for allied health professionals. Currently I don't keep paper copies on file. Please let me know if you have any questions about my record keeping. Please note that if you are coming to see me under a Mental Health Care Plan referral then I am required by Medicare to send a report back to the referring medical practitioner giving brief details of your contact with my service, the nature of the therapy undertaken, and your progress in relation to the plan. Limits of Service I am unfortunately unable to provide court-related assessments or reports, or to give legal testimony unless under subpoena. Where a subpoena does require a report or attendance at court and other legal proceedings, the time taken to perform these duties will be charged at my standard hourly rate. I am also unable to provide emergency assistance should you experience urgent care. I will endeavour to respond to your phone and email messages as soon as I can, but this will not always be immediately, and may be up to one business day later. If you are in emergency circumstances, please contact one of the emergency phones services such as Lifeline (13 11 14), DV Connect (1800 811 811), Mensline (1300 78 99 78), or Kids Helpline (1800 55 1800). You may of course also call γ000γ if the matter is even more urgent. Cancellation Policy To cancel or change your appointment, please give us at least 2 business days notice (48 hours excluding weekends. Our emails are not monitored on the weekends and emails or messages on the weekend will only be attended to on a Monday). Cancellations or change of appointments with less than 2 business days notice will incur full charges.Please click this box to acknowledge that* I have read and understood the conditions of service. Please Date and Agree* Personal InformationName* First Last Date of Birth* Address* Street Address City State Post Code Occupation*Contact Number*Email* Medicare NumberMedicare Reference NumberMedicare Expire Date DD MM YYYY Please select last day of the month for you expire date, Example: 31/OCT/2021 Private Health FundEmergency Contact Name* First Last Emergency Contact Phone*Relationship to You*Are you currently on any medication? If Yes, please describeTreating GP's Name* First Last Treating GP's Clinic*Do you consent to us to communicate with your Treating GP?*YesNoIf you are using a mental health care plan, we do need to communicate with your GP about your progress. If you have any restrictions, you need to let us know.Please briefly tell me the presenting issues that you would like to discuss with me in your sessions (i.e. what made you to want to come and see me?)*When you press submit, please wait for the green line that appears and indicates that "Your form is now submitted". Please don't close the page before you see the green line, or we might not receive your form. Thank you