UniSA Psychology Clinic Appointment Form

The UniSA Psychology Clinic is not a Crisis Centre.  If you require immediate assistance please call the Mental Health Triage Service on 131 465 or Lifeline on 131 114.  These are 24 hour services.

Please note that students cannot see clients in relation to WorkCover claims, reports for Centrelink or Court Reports.

If you are unable to complete this form please call the Psychology Clinic on 8302 4875.  Messages can be left on Voicemail if receptionist is unavailable.

* indicates required fields.

Client details
Do you have a pension/healthcare card? *

Are you a university student? *


Name of person referring client (if applicable)

Postal address

Phone numbers
Is it ok to text your mobile?


What days suit?




The waiting times for appointments can vary depending on what service is required and what day/s you or the students are available. Someone will contact you as soon as possible to advise whether an appointment is available

Areas of study and research

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