top of page

Home
About
Services
Fees
FAQs
Referrals

Questions or queries

Give us a buzz via email or call for a quick chat!

Two female friends talking and holding hands

Ready to Refer

Please fill out the referral form below, and we will get back to you soon.

Participant Details

First name*

Last name*

Gender*

Female

Male

Non-Binary

Other

Birthday*

Day

Month

Year

Preferred Pronouns

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Email

Phone

Emergency Contact

First name*

Last name*

Relationship to participant*

Email*

Phone*

Referral Source

First name*

Last name*

Relationship to participant*

Email*

Phone*

How did you hear about our services?*

Google

Psychology Today

Word of mouth

Social Media

Insurance Directory

Community event / workshop

Other

Service Information

Reason for referral*

Thank you for referring someone to our services! We will be in touch soon.

Contact

0420 470 320

k.campbell.art@outlook.com

Wollongong, NSW 2500

Opening Hours

Monday

9:00 am – 7:00 pm

Tuesday

9:00 am – 7:00 pm

Wednesday

9:00 am – 7:00 pm

© 2025 Kirsten Campbell. All rights reserved. I acknowledge and pay my respects to the Traditional Owners and Custodians of the Land on which I live and work, the Dharawal People. Always was, always will be Aboriginal Land.

bottom of page