Theta Clinic

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CONTACT US

CONTACT US

Get in Touch with US

If you or a loved one is suffering form Depression & Anxiety or PTSD we are here to help. For more Information on rTMS please contact our team of Psychiatrists

PHONE

03 4416 3832

LOCATION

135 Queen Street, Bendigo

EMAIL

info@thetaclinic.com.au

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Name*
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Referral Form

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Patient Information

Name*
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Patient Insurance Information

Is the patient being referred under DVA scheme*

Reason for Referral

Treatment-resistant depression ITRDI

"Note that Medicare rebates are currently only available for those that meet TRD criteria

Relevant History

Please check the box below to indicate the presence of any of the following risk factors

PLEASE ATTACH A FULL MEDICAL HISTORY AND A LIST OF CURRENT AND PAST MEDICATION TO THIS REFERRAL

Treatment resistant depression eligibility for Medicare Rebate

*Medicare funding provides for 35 sessions initially and a further 15 sessions for those meeting additional criteria.
TMS requires a minimum of two weekly appointments and approximately 20 - 30 sessions.

Referring Doctor Information

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Fees and Rebates

Medicare rebates reduce out of pocket cost and can benefit thousands of Australians each year who need access to alternate care for Treatment resistant depression. Patients with Mental Health Care Plan will also be elligible for partial rebates for psychotherapy sessions. NDIS participants are welcome to enquire about our services.

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Urgent Help

Call 000 emergency services

If you are seriously injured or know someone who is at risk of harm right now, call Triple Zero (000) for an ambulance.

Life line 24/7 suicide prevention and crisis support 131114

Low intensity support; Beyond Blue 1300224636

Suicide call back service 24/7 telephone counselling support ,if you are at risk of or affected by suicide  1300659467

Kids Helpline 24/7 phone and online counselling service fro age 5 to 25  1800551800

13 YARN for aboroginal and torres strait Islander people who are going through a tough tme and feel like having yarn 139276

1800RESPECT ; support if you, or someone you know is experiencing sexual assault or domestic and family violence  1800737732

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