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Your Details

Your First Name

Your Last Name

Phone

Email

Address

Do you have a Medicare Card? *

Yes

No

Please Provide your Medicare Number

Please Provide your Medicare Number Reference Number

Please Provide your Medicare Number Expiry Date

Are you of Aboriginal or Torres Strait Islander Descent? *

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No

Are you currently employed? *

Yes

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What is your family status? * Required

Single

Couple - single income

Couple - double income

Family - single income

Family - double income

What is your average household income per week

Do you have a Healthcare Concession Card issued by Australian Government Services? *

Yes

No

If so, please provide your Healthcare Card Number

Let us know anything else that we should take into account when assessing your application

Please upload your Mental Health Care Plan and GP Referral

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Thank you for your referral. Our Customer Success team will be in touch in 1-3 business days.

Let's Connect

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Email: admin@walkingsession.com.au

Address: PO Box 407

FIGTREE NSW 2525

Fax: (02) 4216 9438

Walking Session

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Walking Session would like to show their respect and acknowledge the Traditional Custodians of Dharawal Country, Elders past and present, and extend that respect to other Aboriginal and Torres Strait Islander people.

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If you're experiencing thoughts of suicide or are in crisis, please contact emergency services by dialing 000 (AU)

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