Book Counselling Appointment ***Please note that Rida currently only offers after-hours counselling sessions on week days as per AEST for Australia-based clients. Please note this is NOT a crisis support service.*** Full Name * Gender * Date of Birth (DOB): Visa Status * Email Address * Mobile Number * Time Zone * AESTAEDTACSTAWSTGMTESTPSTCSTIST Preferred Days (Monday-Friday) * Preferred Time Slot * 5:00 PM - 6:00 PM6:00 PM - 7:00 PM7:00 PM - 8:00 PM Purpose of Appointment * Anxiety / Stress ManagementDepression CounselingRelationship / Family IssuesWork Stress / BurnoutTrauma / Emotional HealingCareer GuidanceFirst-Time Psychological AssessmentGeneral Mental Health Consultation Brief Description Preferred Contact Method EmailWhatsApp Client Consent Form I have read the Terms & Conditions, and I understand the Confidentiality, Privacy and Disclosure of Personal Information Policy on Page 3 of the Client Consent Form for this Mental Health Private Practice.