Prescriber enquiry

Not ready to refer yet — or want to talk through a situation first? Fill this in and Penny will call you back. No obligation. No patient information needed at this stage.

For first-time prescribers, a brief overview call is free of charge. If any clinical advice comes up in that conversation, Penny will flag it before a charge applies. Never a surprise.

Please don’t include any patient information in this form. It is for prescriber enquiries only. Once you are ready to refer a patient, use the referral form.

Enquiry form

Prescriber Enquiry

Your details


What is this about?


Brief context (optional)


Best time to call



Prefer to email directly?

Copy the template below into an email to enquiries@maxwellminds.com.au.

Subject: Prescriber enquiry — [your name]

Name: [your name · role · practice]
Phone: [best number for callback]
Best time to call: [morning / afternoon / flexible]

Reason for enquiry:
  [ ] First time — want to understand how Maxwell Minds works
  [ ] Quick prescribing question or second opinion
  [ ] Thinking about referring a patient — want to discuss first
  [ ] Workshops, coaching or prescribing supervision
  [ ] Something else

Brief context (optional — no patient details):
[One or two sentences]

— [Your name]
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