Medicare Mental Health Plan Referral

Medicare card representing Medicare Referrals to manage various psychological conditions

The Psychologists at Paragon PsychConnect can assist your patients to develop adaptive strategies to manage various psychological conditions under Medicare.

 

Once you complete and submit the Medicare Mental Health Plan Referral form, the completed form will be sent to us, and emailed to you.

We will then contact you to discuss your needs.

 

Alternatively, if you cannot complete the online form below:

  • Or you can contact us by submitting an enquiry and we will contact you as soon as possible.

 

Please note:

  • The required fields in the form below are marked with a red asterisk *.
  • If you cannot complete the form, an email will be sent to you after a time, with a web link to finish the form if you wish.  The Client First Name and Client Email Address must be entered for this to work.
Referral Form Medicare Mental Health Plan
  • Client Details
  • Referrer Details
  • Submit Form

Medicare Mental Health Plan Referral Form

Client Details

Client Title
Client Address *
Client Address
Centrelink (Job Seeker, Disability Support Pension, Aged Care Pension)