Expression of Interest Form

Thank you for your interest in Evans Clinical Psychology. Please complete this form as best you can (required fields are marked with a red asterisk) then press submit to send with the security of HIPAA compliant encryption. Please be aware that submitting this form does not guarantee eligibility for this service. Once you have submitted the form, Kate Evans will review this information to determine her suitability to provide services to you via the online clinic. This decision is based upon Kate’s availability at the time of your expression of interest, her strengths and experience, your location, as well as the logistics and limitations of an online therapy space. This decision is not a reflection of you, your value, your worth, or your need for support. Please allow up to 2 weeks between submitting the form and receiving contact from our team. Please note, Evans Clinical Psychology is not a crisis service; there may be some time between reaching out and receiving a response. We may also have a waiting list for services. As such, if you require immediate support, please consider reaching out to your local crisis service, helpline, or see your General Practitioner for referral options. If your life is currently in danger, call 000 (if you are in Australia) or go to your local emergency department to seek urgent medical attention.