Explanation of Services & Consent

As part of providing a psychological service to you, All Psyched Up will collect and record personal information from you that is relevant to your situation, such as your name, contact information, medical history and other relevant information as part of providing psychological services to your child. This collection of personal information will be a necessary part of the psychological assessment and treatment that is conducted.

Our service does not prepare statements, letters or reports for court proceedings.

Your personal information is gathered as part of your assessment and treatment, is kept securely and, in the interests of your privacy, used only by your psychologist, and the authorised personnel of the practice (as necessary). Your personal information is retained to document what happens during sessions and enables the psychologist to provide a relevant and informed psychological service to you.

There may be times where it may be helpful for your psychologist to liaise with other people or agencies that are relevant to your child’s goals. If your child utilises a Mental Health Treatment Plan under the Better Access to Mental Health Scheme, then your psychologist must provide summary reports to your GP or Paediatrician regarding their treatment progress. Please note that signing this form acknowledges your consent to allow us to provide these Medicare reports to the referring practitioner.

At any stage, a client is entitled to access their personal information kept on file, subject to exceptions in the relevant legislation. A client may view the non-copyrighted material recorded in their or their child’s file upon written request and production of identification. If the client is an adolescent, the client’s consent will be sought before material is accessed by a parent. Adolescent clients who seek to access their file can do so via written request.

All personal information gathered by the psychologist during the provision of the psychological service will remain confidential except when:

• it is subpoenaed by a court, or disclosure is otherwise required or authorised by law; or

• failure to disclose the information would place you or another person at serious risk to life, health, or safety; or

• your prior approval has been obtained to communicate with another professional agency or another person.

• When consulting with colleagues, or in the course of supervision, your psychologist will be required to conceal your identity and any associated parties involved; and to preserve your privacy at the utmost professional manner in accordance with the APS Code of Ethics.

Your personal information will not be used, sold, rented, or disclosed for any other purpose.

Where appropriate, a service may be provided by telephone or videoconferencing. You are responsible for the costs associated with setting up the technology needed so you can access telehealth services. Your psychologist will be responsible for the cost of the call to you and the cost associated with the platform used to conduct telehealth services. To engage in telehealth consultations, you will need access to a quiet, private space; and the appropriate device, i.e., smartphone, laptop, iPad, computer, a camera, microphone and headphones; and a reliable internet connection.

A telehealth consultation may be subject to limitations such as an unstable network connection which may affect the quality of the psychology session. In addition, there may be some services for which telehealth is not appropriate or effective. Your psychologist will consider and discuss with you the appropriateness of ongoing telehealth sessions.

The cost of a 50-minute consultation is as follows, and is payable at the end of the session via EFTPOS;

Note: All Psyched Up accepts self-managed or plan-managed NDIS participants only.

Accounts must be up to date for services to continue. All Psyched Up reserves the right to suspend future appointments until your invoices are paid in full. We also reserve the right to take further action to recover outstanding invoices via a debt collection agency. 

If a Mental Health Treatment Plan from a GP, Paediatrician or Psychiatrist is used, then you will eligible to claim a Medicare Rebate for a specified number of sessions per calendar year. Alternatively, you are able to claim a rebate from your private health insurance. Please note that private health insurance claims cannot be used in conjunction with Medicare rebates.

If for some reason you need to cancel or postpone your appointment, please give your psychologist at least 48 hours notice, otherwise a fee will be charged.

If a cancellation was made due to unavoidable circumstances, then we will try our best to reschedule the appointment. If two consecutive cancellations are made, then it is at All Psyched Up’s discretion to request fees are prepaid for future sessions or to restrict the session times available to you.

I/we give permission for the treating psychologist to consult with, receive information from or release information to: