MEDICARE MENTAL HEALTH PLAN REFERRAL

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

Please complete the form below and we will contact you to discuss your client's needs.

Once you complete the form and press “Submit Referral Form”, the form will be sent to us and emailed to you as an attachment.

Alternatively, you can fax or ring our office at either Modbury or Campbelltown to make an appointment.

If you cannot complete the online form below, please go to Referral Forms to download a pdf form that you can fill in, and either email it to us or bring it with you, to assist us with your initial appointment.

 
Referral Form Medicare Mental Health Plan
  • Client Details
  • Referrer Details
  • Submit Form

Client Details

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