PARAGON PSYCHCONNECT FORMS

This page lists the Paragon PsychConnect forms which are used for various purposes.

You can choose to fill in the Online Form (web page) or the PDF Form version of the forms.

The PDF Form will open in a new web browser. You can either fill in the form in the web browser and Save it, or you can Save it and fill in the form afterwards.

If you are filling in the PDF Form, please use this Email link to open an email, then attach the completed PDF Form and send the email to us.

Note that the Email link will only work if you have email installed on your PC, or laptop, or mobile device.


New Client Forms

For new Paragon PsychConnect clients only

The following New Client Forms are used for new Paragon PsychConnect clients before their first appointment.

Please do not use these forms until after you have made your first appointment with the Paragon PsychConnect team.

You can choose to fill in the Online, or PDF, versions of the New Client Form.

If you are filling in the PDF Form, please either use the Email link at the top of the page to send it to us, or print the form and bring it with you to your initial appointment.

If you are unable to complete the Online, or PDF, version of the New Client Form, please arrive 10 minutes earlier than your appointment time to fill in the paper form.

New Private/Medicare Client Form

Complete the Online Form or PDF Form .

New Work or Vehicle Injury Claim (Compensable) Client Form

Complete the Online Form or PDF Form .

New NDIS Client Form

Complete the Online Form or PDF Form .


Referral Forms

The following Referral Forms are used to refer Compensable, NDIS, Medicare, and Private Health clients to Paragon PsychConnect.

You can choose to fill in the Online, or PDF, versions of the Referral Form.

If you are filling in the PDF Form, please either use the Email link at the top of the page to send it to us, or print the form and mail it to us using the Modbury address at the bottom of the web page.

If you are unable to complete the Online, or PDF, version of the Referral Form, you can fax or ring our office at either Modbury or Campbelltown to make an appointment with one of our Team Members. Or you can contact us by submitting an enquiry and we will contact you as soon as possible.

Compensable Referral Form

Complete the Online Form or PDF Form .

NDIS Referral Form

Complete the Online Form or PDF Form .

Medicare Mental Health Plan Referral Form

Complete the Online Form or PDF Form .

Private Health Referral Form

Complete the Online Form or PDF Form .