Bulk Bill Application for Psychology Sessions

Important to Note before you get started

To complete this application, you will need to have a valid GP referral letter and Mental Health Treatment Plan (MHTP) to be eligible for bulk billed sessions. We take only a limited number of bulk billed clients, and therefore assess applicants on a case by case basis. You will be informed of the outcome of your application within 2-3 business days.

All information is confidential as per our Privacy Policy . If you have any questions, our team is here to help via hello@mymirror.com.au

Referral Details

Do you have a Mental Health Plan & GP Referral? *

YesNo

A Mental Health Plan is a support plan obtained from a GP that gives you access to Medicare rebates and bulk-billed sessions for up to 10 psychology sessions a year.

You will be unable to continue your application. A GP referral is required to finalise this application.

You can access an MHCP appointment quickly and easily from home via Qoctor with bulk billed appointments.

Contact hello@mymirror.com.au if you require further assistance.

Please upload your MHTP and your referral letter (we accept doc, pdf, jpeg files) *

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Have you had any Psychology session this year? *

YesNo

How many sessions have you had? *

Do you already have a My Mirror Account? *

Yes, I have an accountNo, I don't have an account yet

Personal Details

First Name *

Last Name *

Phone Number *

Date of Birth *

Email *

What is your address? *

Street address *

City *

State *

Postcode *

Do you have a valid Medicare card? *

YesNo

It is a Medicare requirement that you have a valid Medicare card to access bulk billed sessions.

Please provide your Medicare card number *

Please provide your Medicare card reference number *

What is your Medicare listed name?

Status Assessment

Are you of Aboriginal or Torres Strait Islander Decent? *

YesNo

Are you currently employed? *

YesNo

What is your employment status? *

What is your family status? *

What is your total average monthly household income? *

Do you have a Healthcare concession card issued by Australian Government Services *

YesNo

Please provide your Healthcare card number *

Are you currently experiencing financial hardship? *

YesNo

Please provide additional details to support your application.

I declare that the information provided above is true and accurate *