Advance Minds

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Advance Minds Patient Intake Form

Name

Address

Date of Birth

Gender

Phone

Current Medications

Mental Health History

Substance Use

Legal Information

Occupation

Living Situation

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Address

Relationship to Patient

Additional Comments

Consent & Agreements - I consent to receive treatment. I acknowledge confidentiality and privacy policy. I authorise sharing information with other health providers when necessary. I consent to SMS/email reminders

Yes

Serving You Australia Wide

Nenous Toma
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I’ve been attending Advance Minds once a week and seeing Brother Shuv, and it has been an incredible experience filled with positivity. Every session leaves me feeling renewed and uplifted. I walk out each time feeling like a completely new person.

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Chantelle Serafino
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I can’t say enough about the transformative experience my partner and I had with Shuv Homsi. From the very first session, we felt welcomed and understood in a way that made a real difference in our relationship. The counsellor's empathetic and insightful approach helped us navigate our challenges with renewed clarity and connection.

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Renelle Caban
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This service has been a great support link for my family and has helped my husband immensely with ongoing therapy. Shuv shows warmth and understanding to his clients and goes above and beyond to help them reach their goal!

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Lana Merhi
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Their comforting and dedicated approach is truly remarkable. They consistently provide top-notch service and treated us like family. Their genuine care and commitment to ensuring your well-being are truly commendable. I wholeheartedly recommend their services to anyone in need.

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Bilal Dannaoui
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Brother Shuv demonstrates deep compassion, understanding, and expertise in his field. He establishes a safe and non-judgmental environment for clients, fostering an effective space for personal growth and problem-solving. I would enthusiastically recommend Advance Minds to anyone seeking professional counseling.

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Cecilia Davvi
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Advance minds, is really structured to encourage and strengthen the minds of those who come in for therapy. I have had the humblest sessions and can’t thank the therapists enough.
I have experienced proper care and elevated thinking.

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Demi Tok
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Had a great experience with both Aisha and Shuv. They are personable both as therapists and people. Highly recommended both. They have greatly assisted my husband in his recovery journey and how far he has come is definitely a credit to their professionalism and knowledge. Their work is admirable - keep it up, highly recommend.

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Robert Ghalbouni
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Shuv is a pure hearted gentlemen. Welcoming, wise and humble. These sessions have helped in a monstrous way. I’ll never be able to pay him back for his help and guidance. My brother Shuv ♥️

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What our customers think

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We would like to acknowledging the Traditional Owners and Custodians of the land, the people of the nation, and pay our respects to their Elders past and present, as well as to emerging leaders.