Consent Forms Reference
5 forms — new naming convention (March 2026). No standalone registration form — patient details captured within each specialty form.
Forms Dispatch Guide
| Situation |
Send |
| New psychiatry patient (general) |
FormA1 |
| New psychiatry patient — ADHD assessment |
FormA1 + FormA2 |
| New psychology patient (general / Better Access / Private) |
FormB1 |
| New psychology patient — ADHD/ASD assessment package |
FormB1 + FormB2 |
| Any NDIS patient (psychiatry or psychology) |
FormC — before first session |
| Pine Rivers / Jacqui booking packet for ADHD |
FormA2 — PDF to Jacqui.Vincenzi@healthscope.com.au |
FormA1 — Psychiatry General
- File: FormA1_Psychiatry_General.docx
- Trigger: Every new psychiatry patient at first appointment
- Contains: Services overview, fee table, cancellation policy, confidentiality, telehealth, personal details, 5 consent checkboxes + signature
Fee Table
| Appointment |
Fee |
Rebate |
Gap |
| Initial |
$530 |
~$262 |
~$268 |
| FU ≤30 min |
$240 |
~$87 |
~$153 |
| FU 30–45 min |
$355 |
~$134 |
~$221 |
| FU 45–75 min |
$475–535 |
~$180 |
~$295 |
| FU >75 min |
$595 |
~$211 |
~$384 |
FormA2 — Psychiatry ADHD
- File: FormA2_Psychiatry_ADHD.docx
- Trigger: Any patient booked for ADHD assessment with Psychiatrist
- Contains: ADHD fee table, psychometric assessment explanation ($1,800 separate service), S8 controlled substance disclosures, cancellation, confidentiality, telehealth, 12 consent checkboxes including S8 acknowledgements
ADHD Fee Table
| Session |
Fee |
Rebate |
| Session 1 — Initial |
$530 |
~$262 |
| Session 2 — FU 45–75 min |
$475–535 |
~$180 |
FormB1 — Psychology General
- File: FormB1_Psychology_General.docx
- Trigger: Every new psychology patient
- Contains: Three-pathway fees, cancellation, AHPRA Dec 2025 code, voluntary participation, telehealth, 6 consent checkboxes
Three-Pathway Fees
| Pathway |
Fee |
Rebate / Cap |
Gap |
| Better Access |
$250 |
Rebate $145.25 |
~$105 |
| Private |
$250 |
— |
— |
| NDIS |
$250 |
Cap $194.16 |
~$56 |
FormB2 — Psychology ADHD/ASD
- File: FormB2_Psychology_ADHD_ASD.docx
- Trigger: Neurodevelopmental assessment package booking
- Contains: Why ADHD+ASD together (80% co-occurrence), 4-session structure, laptop requirement (red alert), collateral guidance, $1,800 all-in fee, refund policy, report uses, confidentiality, 10 consent checkboxes, dual signature block (patient + psychologist)
Refund Policy
| Notice Period |
Refund |
| >5 days |
Full refund |
| 2–5 days |
50% refund |
| <2 days |
No refund |
FormC — NDIS Service Agreement
- File: FormC_NDIS_ServiceAgreement.docx
- Trigger: Every NDIS patient before first session
- Contains: Unregistered provider note, fee schedule ($232.99/hr, $250 fee, $55.84 gap), extended assessment $480, group $120, cancellation, participant rights, invoicing pathways, gap fee election (3 options), dual signature + plan manager acknowledgement
AHPRA Consent Requirements
New AHPRA Code of Conduct (1 December 2025): Consent is ongoing documented process, not one-off form. Annual consent reviews recommended.