Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4 with existing documents Are you a new or existing patient? *New patientExisting patientExisting patient appointment type *Review appointment - 45 minutesReview appointment - 30 minutesMedication review appointment - 15 minutesNot sureExisting patients. Choose the length of appointment you require.Appointment suitabilityOur telehealth psychiatry services and appointments are not for emergencies. If you are an immediate danger or require urgent crisis care please call 000 or attend the nearest emergency department.Age band *Select age bandUnder 1717-6465+Age range needs review by the clinic before bookingOur online booking system is designed for patients aged 17 to 64. If you are under 17 or 65 and older, please contact us before booking: contact@tranquilwavehealth.com.Do any urgent safety concerns apply right now? *I may harm myselfI may harm someone elseI am experiencing psychosis, mania, or feeling out of controlI need hospital, emergency, or crisis-team care nowI have an active eating disorder with medical instability risksNone of the aboveIf you need urgent support nowPlease contact emergency services by calling 000, Lifeline on 13 11 14 or a 24/7 crisis line for a referral to your local Crisis Assessment and Treatment Team (CATT). Our clinic cannot manage urgent or high-risk situations.Do any of the below apply? *I require a report for court, legal, Centrelink, NDIS, WorkCover, driving, or forensic purposes.I am seeking long-term clozapine treatmentNone of the abovePlease contact the clinic firstAn online booking may not be appropriate for this request. Please contact the clinic directly: contact@tranquilwavehealth.com.ContinueYour contact detailsThese details help the clinic follow up with the right next step.Full name *FirstLastEmail *Mobile phone *Preferred contact method *EmailPhoneSMSBackContinueReferral and appointment typePlease ensure your GP or specialist referral is valid to claim the Medicare rebate.Referral status *I have a GP or specialist referral and can upload it nowMy GP/specialist/referrer will send the referral directly to the clinicI am arranging a referralI am not sure if I need oneI do not have a referralReferral type if known *Standard psychiatry referral291 (telehealth 92435) assessment referralADHD assessment referralADHD 291 (telehealth 92435) assessment referralNot sureUpload referral or supporting documents Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Optional. You can also provide documents later if preferred.291 psychiatric assessment: Please ensure your GP referral states that a 291 psychiatric assessment is being requested.What is the main reason for booking? *ADHD - new assessment or diagnostic clarificationADHD - existing diagnosis, medication continuation, or reviewGeneral psychiatric assessmentAddiction or substance-use supportOtherBriefly describe what you want help with *For a new ADHD assessment, which documents can you provide?Previous psychology, paediatrician, or psychiatry reportSchool, university, or work reportsRecent blood tests, blood pressure, ECG, or other physical-health monitoringParent, teacher, family, or other supporting letter/reportI am not sure yetFor existing ADHD diagnosis or medication review, which documents can you provide?ADHD diagnosis reportMedication historyRecent blood pressure, pulse, blood tests, or ECGI am not sure yetWhat addiction or substance-use support is relevant?AlcoholCannabisStimulantsOpioidsBenzodiazepines, such as diazepam or alprazolamGambling or behavioural addictionHarm reduction or relapse preventionOtherAnything else about the appointment reason?NewsletterYes, I’d like to receive wellbeing tips, updates and occasional news from Tranquil Wave Health by email. I can unsubscribe at any time.BackReviewNext stepSubmit your request and a Halaxy booking link will appear after this submission to book your appointment. You will also be sent an email. If you are unsure which appointment type to book, please contact the clinic: contact@tranquilwavehealth.com.ADHD New Assessments: Before your appointment, please complete your investigations with your GP (ECG and blood tests) and email us your documentation (e.g. school reports, parental letters and ADHD questionnaires) to contact@tranquilwavehealth.com. If you have previously been diagnosed with ADHD, please email us your previous diagnosis letter.Existing ADHD Diagnosis or Medication Review: Bring evidence of your ADHD diagnosis (e.g. diagnosis letter), current medication details, prescribing history, and recent physical-health monitoring if available.General Psychiatry Reviews: Bring your referral, current medications, and any recent letters or reports if available.Addiction and Substance Use Disorders: This is for non-urgent outpatient addiction or substance-use disorder support. If you are unsure, please contact the clinic before booking.Consent and acknowledgement *I understand this appointment is not for emergencies and confirmation of my booking will occur after requesting the appointment via Halaxy.Send request
