Contact us

New clients can request an appointment via the form below.

Feel free to contact us via email Jpearmaneuphoria@gmail.com for queries about our services.

Tuesdays - 8am to 6pm

Other appointment times may be available on a case-by-case basis.

25/78 Coolbellup Avenue

Coolbellup WA 6163

Entrance located on the Coolbellup Avenue side, on the exterior of the building.

New clients can request an appointment by filling in this form:

Preferred name (optional)

Legal name (required for Medicare claims)

First Name

Last Name

Pronouns (optional)

Gender identity (optional)

Phone

(###)

###

####

What would you like to achieve through therapy?

Please specify any sensory needs for an appointment. We will try to help if we can! (optional)

Do you have a preference for in-person or telehealth appointments? (optional)

Would you like your clinician to wear a face mask during your appointment? (optional)

I agree to the following conditions:

Euphoria Psychology does not work with clients with eating disorders or those with high-risk suicidality. If these concerns are being addressed by a different service then your referral may be considered. Please detail the supports in place in 'What would you like to achieve through therapy?'.
I may be placed on a waitlist if no immediate clinician capacity is available. Euphoria Psychology will notify me of the wait time. If immediate support within the next month is required please call the mental health emergency response line on 1300 555 788 (Perth Metro), 1800 676 822 (Peel), or other relevant emergency service.
My clinician is transgender and I am comfortable receiving service from them.