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Maryborough Psychology & Health Clinic
Melinda Metaxas & Associates Pty Ltd
Melinda Metaxas & Associates Pty Ltd


Child & Adolescent Intake Form
Child & Adolescent Intake Form

We would appreciate if you could please answer the following questions so that we can understand your child's circumstances better. This will help us to link your child to the appropriate clinician and service so that they can receive the most relevant intervention and assistance. The more information you provide, the greater our ability to support you. All of the information that you provide remains confidential and protected
We would appreciate if you could please answer the following questions so that we can understand your child's circumstances better. This will help us to link your child to the appropriate clinician and service so that they can receive the most relevant intervention and assistance. The more information you provide, the greater our ability to support you. All of the information that you provide remains confidential and protected

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