Name *

First Name

Last Name

What is your budget for sessions?

Please choose which best applies.

Low or no gap (Bulk billing is best but I am willing to pay a small fee)

I'm willing to pay for premium services if necessary (above $30 per session)

Do you have a concession card/healthcare card or any other concessions to consider?

Yes

No

How far are you willing to travel?

Within my postcode

Up to 5km

Up to 10km

Further if necessary

Do you require after-business hours appointments?

Yes

No

Would you consider telehealth services?

Yes

No

Would you travel further for lower-cost options?

Yes

No

Do you have a preference for the practitioner's gender?

Male

Female

No preference

I consent to Metacare Australia using the information provided to match me with a suitable allied health practitioner based on my preferences and needs. *

Yes

No