Here at Person Centred Psychology and Allied Health we offer evidence-informed and person-centred services for individuals experiencing eating disorders, as well as other concerns relating to eating and body image. Our approach can be described as compassionate, respectful, and centred around non-diet and Health at Every Size (HAES) paradigms.

This means that our clinicians are dedicated to:

1) Addressing harmful eating practices and stigmas that can maintain eating and body image challenges; and

2) Promoting health, wellbeing, and self-compassion for individuals of all body shapes, sizes, and weights.

To determine our suitability to meet your needs, please complete the below form.

Once we have received your form, we will then contact you within 2 business days to discuss next steps.

** Please note: If you are currently at a very low weight (e.g., BMI < 16), experiencing serious complications from an eating disorder, and/or needing urgent support, you may be suited to a higher level of care than we can provide. Please feel free to contact our admin team to discuss alternative options for support.

** Please note: Person Centred Psychology & Allied Health is not an emergency service and is unable to provide urgent care. If you are experiencing an emergency, phone 000, Lifeline on 13 11 14 or go to your nearest emergency room.

I have read the above and am comfortable with the treatment approach provided at Person Centred Psychology & Allied Health

Yes

Full Name

First Name

Last Name

Date of Birth

Contact Number

Email

If you are completing this form on behalf of someone else, please list your full name, relationship and contact number

Referral Source

Appointment Type

Psychological Services

Dietetics Services

Both Psychology and Dietetics Services

Please provide a brief summary on the reason for your appointment request:

Appointment Attendance

In clinic

Telehealth

Either option

Thank you. We will be in touch within 2 business days to discuss next steps.

eating disorder Intake Form