Make a BookingPlease fill out this form to request an initial appointment. Name * First Name Last Name Email * Phone Number * I confirm that I am the person seeking care at eluceo * eluceo requests that individuals seeking care contact us directly to learn more about our services Yes I confirm I am over 18yrs of age * eluceo’s clinicians provide support exclusively for adults Yes Date of Birth * Please use day/month/year format. Which clinician would you like to see? * Dr Ashlea Broomfield Rebecca May Both Dr Ashlea and Rebecca What are you hoping we can help you with? * How did you hear about us? * Anything else you would like us to know? Preferred method of contact to arrange an initial appointment * Phone Email Please Note * I understand this is an un-encrypted form which is used primarily to arrange and prioritise appointments and should not be used clinical enquiries. I understand this information will be uploaded into my clinical record. Yep - I agree Subscribe to our newsletter for updates, fun things and musings? Occasionally we will let you know of new offerings. Yes Thank you for reaching out. Belinda, our business administration assistant, will get in touch with you on your preferred contact method when she is next in the office, which is Tuesday through Thursday between 8:30 a.m. and 4:30 p.m.
