New Clients Form

Welcome to Mind Management Mastery. If you’re a new client, please complete this form, and we’ll get back to you.

About you

First name

Surname

Email address

Sex (M/F)

Phone number

Comment or question – optional

Mental Health Care Plan (MHCP)

Do you have a current mental health care plan, or will you be asking your doctor for one? (Australian Residents only). If yes, please have it emailed to: mmmannesacco@gmail.com(required)

Yes

Programme

Please select which part(s) of the MMM programme you would like to do:(required)

Online Psychological Assessment: Cost: $130 or funded using one session of your MHCP.

Individual Sessions with a clinical psychologist? Cost: $130 per session, or funded using your MHCP.

Mind Management Mastery Course Cost: $66 if you have a mental health care plan; $366 without a MHCP.