Request Forms
Intake Referral Form
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Complete this form to book an appointment for the services below:
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Psychiatry (Advanced Trainee): more info here
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Psychologist (NDIS/private health clients), including psychometric assessments
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Counsellor / Play Therapy
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Repeat Prescription Request Form
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Before completing this form, please read this important information.
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This form is only applicable for existing patients of Pitstop Health.
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The approval of this request is at the Psychiatrist's discretion.
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Once the request is approved, you will be sent an e-pay link to complete payment ($50).
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After payment is received, your e-prescription will be sent via SMS.
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The minimum processing time is 5-7 business days.
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If you require an urgent prescription, please visit your GP to request for this.
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PLEASE NOTE: If you have not seen your treating Psychiatrist for more than 6 months, please do not complete this form - contact us to book a consultation for a medication review.