Employee Wellbeing Book an appointment with our team if you have been referred by your organisation. We will get back to you as soon as possible with available appointment times. Please note: any information you provide us will be kept confidential. Name * First Name Last Name Name of Referring Person (if applicable) First Name Last Name Name of Organisation (if applicable) Please select if you are reaching out as part of an employment programme. M2X Nautech Date of birth * Email Address * Phone * Best contact time Gender * Female Male Non-Binary Takatāpui Rather not say Other Pronouns * She/Her He/Him They/Them ia None, just use my name Other Ethnicity * How can we help? * Let us know how we can help and we will do our best to match a member of our experienced team that is most suited to your needs (for example: depression, anxiety, grief, loss and stress, as well as difficulties in interpersonal relationships, parenting and general life adjustment). Have you had any previous treatment for your mental health? * Are you currently engaging with any other services who are supporting your mental health? * Are you currently taking any medications? * Who is your GP? * Primary language spoken? * Do you have any disability or access needs that we could support with? Emergency contact person * Clinician preference * We are happy to take any preference you may have into account. When allocating new referrals, we also take into account Clinicians availability and client fit. No preference / first available Dr Maia Eremin Leigh McCabe Roslyn Hughes Dr Julia Campbell Dr Jamie Kampen Anmol Chawla Emma Reynolds Media Ali Dominique Harris Michelle Rous Gorgan Ng Jennifer Garton Olivia Selby Dr Yunfei Zhao Scarlett Teng Sam Hargreaves Dr Robert Marchl Fiona Kenworthy Shireen Hawkins Preferred clinic location * If you have a preferred location to visit us please select below Online Howick Pukekohe Highbrook How did you hear about The Psychology Group? * Search engine (eg. Google) Word of mouth Referral from a professional Recommendation from an existing/past client Facebook Instagram LinkedIn Other Thank you!
