Paperwork, made simple
Forms
Everything can be completed here on your phone or computer — no printing, no scanning. Prefer paper? Every form has a PDF you can download, fill in and bring with you.
Intake questionnaire
Tell Amy a little about yourself before your first appointment, so the first session can be spent on what matters most to you. About 10 minutes.
Fill in online New clientsClient information & consent
How therapy, confidentiality, communication and telehealth work, and your consent to begin. Signed online.
Fill in online New clientsFee agreement
Session fees, the 48-hour cancellation policy and payment authorisation. Signed online.
Fill in online If EMDR is recommendedEMDR therapy consent
What EMDR involves, its possible benefits and risks, and your consent to take part. Only needed if we have agreed EMDR is a good fit.
Fill in online Current clientsFeedback
Anonymous unless you choose to leave your name. A few minutes of your time helps keep this a safe, welcoming service.
Fill in online For professionalsReferral form
For GPs, paediatricians, schools and allied health colleagues referring a client. Includes risk screening and the additional questions for young people.
Fill in onlinePrefer to print?
Download any form as a PDF, fill it in by hand and bring it to your appointment or email it to hello@emberandoaktherapy.com.au.
A note on privacy
Answers sent through these forms are emailed straight to Amy Inglis and are not stored on this website. Email is convenient but never completely secure, so share only what you are comfortable putting in writing — anything else can wait until we are in the room together. The full privacy policy explains how your information is collected, stored and shared.
These forms are not monitored. If you need support right now, contact your GP, South West Healthcare Mental Health Triage — 1800 808 284, Lifeline — 13 11 14, or call 000 if you are in immediate danger.