☎ 0402 158 108

Terms and Conditions

Fees

$150 per 50 minute initial consultation. For clients on a GP Mental Health Treatment Plan
this equates to a $65.20 gap payment. Alternatively, Private Health rebates may apply.
Please check with your health insurer regarding your level of cover and rebate eligibility.
Cancellation of appointments
I appreciate that unforseen events occur, and ask that if you are unable to attend an
appointment please advise me as soon as possible. Missing appointments delays your
progress, disadvantages other clients and inconveniences me. I charge a $30 fee for
missed appointments if 24 hours notice is not provided. The client is responsible for any
costs incurred in the recovery of this fee.
Purpose of Collecting and Holding Information
The information is gathered as part of the assessment, diagnosis and treatment of the
client’s condition, and is seen only by the psychologist. The information is retained in
order to document what happens during sessions, and enables the psychologist to provide a
relevant and informed psychological service.
Access to Client Information
At any stage you as a client are entitled to access the information about you kept on file,
unless the relevant legislation provides otherwise. The psychologist may discuss with you
appropriate forms of access.
Confidentiality
All personal information gathered by the psychologist during the provision of the
psychological service will remain confidential and secure except where:
1. It is subpoenaed by a court, or
2. Failure to disclose the information would place you or another person at serious and
imminent risk; or
3. Your prior approval has been obtained to
a. provide a written report to another professional or agency. e.g. a GP or a
lawyer; or
b. discuss the material with another person, e.g. a parent or employer;
or if disclosure is otherwise required or authorised by law.

Only where relevant will information regarding your attendance will be communicated to
Medicare Australian, your Health Care provider or Insurance company for the purpose of
payment for the appropriate service.
*If you have concerns about the conduct of your psychologist, you may call either the
Psychologists’ Registration Board in South Australia or the Australian Psychological
Society on (03) 8662 3300.
Allie Ackland-Prpic
Psychologist
Clinical Hypnotherapist
Healing Psychology
Port Elliot, SA 5212
Australia
0402 158 108
Fax: 08 8312 6242