top of page

Intake Form

In order for us to offer you the best possible service as well as for legal reasons, we are required to obtain relevant information from you before we can proceed with a counselling session.

 

Please help us help you by completing the following forms as applicable to your counselling needs. 

If forms are NOT completed before the first session, we will need to cover them during the session. This will take up some of your valuable session time.

Please click on the "Intake Form" button below to be linked out to the relevant form.

All new clients to please complete before first session.

Samway Consulting

Formerly Samway Counselling Services

 

Online Australia-wide

info@samwaycounselling.com.au

 

Tel: 0458 191 356

Appointments taken during the following hours:

Mon - Fri: 8am - 5pm

​​Saturday: 8am - 9am

  • Black Facebook Icon
  • Instagram
aca-logo-new.png
CCAA-logo.png

Thanks for submitting!

334e5f7e-3cca-47bd-a1a7-deddaf5d7b82.jpg
bbd9a58e-e18a-453d-a88f-508acccc1dcf.png

© 2026 Samway Consulting

bottom of page