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Client Intake Form

  1. Personal Information

Participant Details
Date of Birth
Day
Month
Year
Multi-line address
Emergency contacts / Next of Kin
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COFFS HARBOUR ART THERAPY

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Rebecca Lloyd

Expressive Arts Therapist​

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ANZACATA Registration: 67256102

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In-Person or Online 

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M: 0418 640 317

E:  info@coffsharbourarttherapy.com.au

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Servicing the Coffs Harbour and Northern NSW region, Australia

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Coffs Harbour Arts Therapy acknowledges the Gumbaynggirr people, the Traditional Custodians of the land on which we live and work.​ We pay our respects to Elders past and present, and honour the continuing connection of Gumbaynggirr people to Country, culture, community and family.

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We recognise the deep knowledge, strength, creativity and resilience of First Nations peoples and acknowledge the importance of listening, learning and walking respectfully alongside Aboriginal and Torres Strait Islander communities.

© 2026 Coffs Harbour Art Therapy  |  Rebecca Lloyd – Registered Expressive Arts Psychotherapist.  

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