Information For New Clients Attending Terrigal/Erina Heights NSW Location

marriage and relationship counselling Sydney

Address for appointment:

The Chiro Barn, 167 Serpentine Road, Terrigal NSW 2260.

About the Location

Parking:

Parking is available on the premises to the left of the driveway entrance. Follow the nature path to the Chiro Barn.

Payment:

SMS reminder:

If you have provided your mobile phone number, you will be sent an SMS reminder the day before your appointment.

Confidential Information Form:

Please select the appropriate Confidential Information Form below. To save time I recommend that the form be completed on your computer prior to attending your counselling session. If you are unable to do this, it can be done on your arrival at your appointment.

The following etiquette is expected in the counselling room:

IMPORTANT: It is required that BOTH PARTNERS fill out the form for couples.

The form can either be printed once completed and brought into session with you or it can be sent back by email using latest version of Adobe Reader. Please ensure that the form is signed. This can be done digitally within Adobe Reader. You will need to save the PDF form to your computer first.

Download form for individual appointment.

Download form for couple's appointment.

PLEASE USE THIS FORM TO REQUEST AN APPOINTMENT OR LET US KNOW HOW WE MAY HELP.
Name:
Mobile
Your email address
If you would like to make an appointment please indicate your preferred day and time (Monday-Saturday). OR you may simply like to send a message in the space provided below.
Please schedule appointment for:
Please choose where you would like your appointment:
1st preference for day
Alternative day
My time of day preferenceYou may check one or more boxes
Your Message:
READY TO SEND