Client Information Form

Please complete the following:

Wavecare Counselling provides counselling to people for a broad range of issues. Counselling is provided in a safe and confidential environment by qualified and experienced practitioners.

Please complete the below form prior to your first appointment.

Name*
Address*
Email*
Max. file size: 50 MB.
mental health care plan
Consent
Income Source

Relationship to City of Monash

Household Type

How did you hear about Wavecare?

Case Type

This field is for validation purposes and should be left unchanged.