Contact.

Use this form if you’d like to make contact.

If you have never previously consulted with Dr Wise, please complete this form and await contact before scheduling any bookings.

After completing this form, you would usually be contacted within 48 business hours by phone or email.

Dr Wise does not provide crisis mental health services or psychological assessments for court proceedings.

If you require immediate support, please call Lifeline on 13 11 14, or for emergency call 000

Name

First Name

Last Name

Phone number

Ideal time and date to be contacted

Reason for contact

Please tick the primary reason for contact

Psychological counselling

Supervision or training

Media enquiry

Feedback on service

Waitlist enquiry

Other

Dr Richard Wise