Services & Fees

Cloud Clinic by Avive is a private practice. Our current fees, and Medicare rebates, are detailed below.  Please refer back to this website for current fees and policies.

Initial appointment for adults.

Appointment Type

Cloud Clinic Fee

Medicare Rebate

Wait times

296 | 92437
Initial Appointment
45-60 minutes

$690

$268.90

4-6 weeks

Includes treatment for anxiety, depression, mood disorders, psychoses, OCD, PTSD, personality disorders, bipolar disorder and schizophrenia. Includes bookings for Continuity of ADHD Care . Important note: it is not guaranteed that an ADHD diagnosis will be made during your initial appointment. The ADHD fee allows for additional review time prior to your appointment and is non-refundable where a diagnosis is not made.

Follow-up appointments for adults.

Appointment Type

Cloud Clinic Fee

Medicare Rebate

Wait times

304 | 91829
Extended Follow up Appointment
30 minutes

$390

$137.50

1-4 weeks

302 | 91828
Standard Follow-Up Appointment
20 minutes

$290

$89.30

2- 4 weeks

306 | 91830
ASD Assessment 2nd Appointment
45+ Minutes

$690

$189.70

2-4 weeks

291 Appointments for adults.

This service includes bookings for our 291 Shared Care Model and General Psychiatry Appointments.  A bulk-billed service for a 291 assessment is available for Australians (incl. rural DVA) living in MM2 and above locations if you have not used a 291-item number in the preceding 12 months (365 days). Learn more Health Workforce Locator

Appointment Type

Cloud Clinic Fee

Medicare Rebate

Wait times

291 | 92435
Initial Appointment
45-60 minutes

$790
(MM2+: Bulk Billed)

$467.75

4-6 weeks

293 Appointments for adults.

Appointment Type

Cloud Clinic Fee

Medicare Rebate

Wait times

293 | 92436
Follow up Appointment
*After 291*
30-45 minutes

$428

$292.20

4-6 weeks

Following are the fees for children and adolescents

Appointment Type

Cloud Clinic Fee

Medicare Rebate

Wait times

296 | 92437
Initial Child Appointment
45-60 minutes

$790

$268.90

1 - 3 weeks

347 | 91877
Initial Parent Appointment
45-60 minutes

$790

$189.70

1 - 3 weeks

304 | 91829
Extended Follow-Up Appointment
30 minutes

$390

$137.50

2 - 4 weeks

302 | 91828 Standard Follow-Up Appointment
20 minutes

$290

$89.30

2 - 4 weeks

Payment

To confirm an appointment a credit card must be used to secure the booking.

A 25% booking fee will be charged at appointment confirmation.

Full payment will be deducted from the payment method on file 7 working days prior to the appointment date.

If your payment is declined by your card issuer and you do not arrange payment manually by the due date, your appointment will be cancelled and your deposit forfeited.

See our cancellation policy.

ADHD

Adult ADHD Assessment Pathway

Our adult ADHD assessment process is completed over two appointments to allow your psychiatrist to undertake a comprehensive assessment and determine the most appropriate treatment recommendations.

Initial Assessment

Your first appointment is a comprehensive psychiatricassessment where your psychiatrist will discuss your symptoms, medical history, mental health history and any supporting information you have provided.
Before your initialappointment, you'll need to:

  • Complete our online intake form.  
  • Upload your referral (if not already provided).  
  • Provide any relevant supporting documentation (if available).

Second ADHD Assessment

If your psychiatrist determinesthat further assessment for ADHD is appropriate following your initial consultation, you'll be invited to book a 30-minute ADHD Assessment Review.

Before this appointment, we'll ask you to:

  • Complete ADHD self-assessment questionnaires.  
  • Arrange for an observer (such as a parent, partner or close friend) to complete an observer questionnaire.  
  • Obtain an ECG if medication may be clinically appropriate. While an ECG is preferred before your appointment, it will not delay your booking if it is still outstanding.

During this appointment, your psychiatrist will:

  • Review your assessment questionnaires and supporting information.  
  • Confirm or exclude an ADHD diagnosis where appropriate.  
  • Discuss treatment recommendations, including whether medication is suitable.

Ongoing Review Appointments

Following your assessment, reviewappointments are tailored to your clinical needs.

Standard Review (20 minutes)

Suitable for:

  • Repeat prescriptions  
  • Medication dose adjustments  
  • Stable medication reviews  
  • A single clinical concern  
  • Simple documentation (such as travel letters)

Extended Review (30 minutes)

Suitable for:

  • Second ADHD assessment appointments  
  • Reviews involving multiple clinical concerns  
  • Significant medication changes  
  • Complex clinical reviews  
  • School, university, workplace or insurance documentation

If you're unsure which appointment type to book, our administration team can assist.

Queensland Shared Care ADHD Assessments (MBS Item 291)

Queensland patients may also be eligible for an MBS Item 291ADHD assessment under our Shared Care Assessment pathway.

Under this model, the assessment is completed by yourpsychiatrist, with ongoing prescribing and medication management intended to occur in partnership with your GP once clinically appropriate.

Patients referred under the Item 291 pathway will continueto complete ADHD questionnaires before their initial appointment, in line with Medicare requirements.

Please note that shared care arrangements are subject toyour GP's willingness to participate and state-based prescribing requirements.

Please note
Once medication stability is reached, your psychiatrist can transfer care to your GP who has agreed to act as Authorised Prescriber can provide ongoing medication scripts.

Typically, it takes 4 – 5 appointments (including 1 initial appointment) spread across 1 to 2 years to reach medication stability.

Rural and remote Australians

We offer bulk-billed MBS Item 291 psychiatric assessmentsfor eligible patients living in Modified Monash Model (MM) 2–7 locations acrossAustralia.A bulk billed service for 291 (non-ADHD) is available for Australians living in MM2 and above locations if you have not used a 291 item number in the preceding 12 months (365 days).

This includes:

  • General psychiatry    
  • assessments for eligible MM2–MM7 patients.  
  • ADHD assessments for eligible Queensland patients under our Shared Care Model, where clinically     appropriate.  
  • Department of Veterans'  Affairs (DVA) card holders residing in MM2–MM7 locations.

To be eligible, you must:

  • Live in an MM2–MM7 location.
  • Meet Medicare eligibility requirements, including not having received an MBS Item 291 service within the previous 12 months (365 days).
  • Hold a valid referral from your GP or referring practitioner

To check your eligibility, enter your address into the Health Workforce Locator and check the 2019 result for the “Modified Monash Model”.

Please note:

  • If your residential address changes and you are no longer eligible under the MM2–MM7 criteria, standard consultation fees may apply.·
  • Patients requiring a subsequent MBS Item 293 consultation will require a new referral from their GP.· A credit card is required to secure your appointment.
  • A cancellation fee will only be charged if an appointment is cancelled outside the timeframes outlined in Cloud Clinic by Avive's cancellation policy or is not attended.

Medicare rebates

To be eligible for Medicare reimbursement patients must hold a current referral from their GP or specialist. GP referrals must be dated within 12 months of your appointment, and specialist referrals within 3 months.

If you have seen a psychiatrist in the last 12 months you will need to confirm with Medicare the rebates available to you.

Please be advised that you must be in Australia to be eligible for rebates, and requests for rebates are monitored by Medicare.

Cloud Clinic by Avive is unable to procure new referrals on behalf of patients or backdate rebates.

Rebate processing

Medicare rebates will be processed the working day following your appointment. Medicare takes up to 72 hours to process rebates and will deposit rebates directly into your nominated bank account.

If you do not receive your rebate, please contact Medicare directly to check your eligibility and confirm your account details.

Medicare rebates are unable to be processed for cancelled bookings.

2026 Medicare Safety Net thresholds

Please refer to Services Australia for further information on how the Medicare safety net may lower your out-of-pocket costs.

- General individuals and families: $2,699.10
- Concession & Family Tax Benefit Part A families: $861.20


We strongly encourage you to check your eligibility for the Medicare Safety Net, as it can make a significant difference to your out-of-pocket costs over the year.

Family Safety Net
Families need to register with Medicare to combine their out-of-pocket costs. This is not automatic, even if everyone is listed on the same Medicare card.

How it helps
Once your annual threshold is reached, Medicare may cover 80% of your out-of-pocket costs for eligible out-of-hospital services (up to Medicare benefit caps), in addition to your regular rebate.

This applies to all eligible out-of-hospital Medicare services, not just those provided at our clinic.

Example
For a standard $390 review consultation with a $134 Medicare rebate, your out-of-pocket cost is $256.

Once you have reached the Medicare Safety Net threshold for the year, Medicare may cover 80% of this gap, reducing your out-of-pocket cost to $51.20 per review consultation.

Important information
Payments to GPs, specialists and other Medicare-claimable services all count toward your Safety Net threshold.

The Safety Net threshold resets on 1 January each year.

Cancellation Policy

Cancellations made less than 7 working days prior to the appointment date and time will incur a $200 cancellation fee if the booking is unable to be filled.

Cancellations made between 6 and 2 working days prior to the appointment time will be charged 50% of the booking fee.

Cancellations less than 2 working days prior to the appointment time, and no shows, will be charged the full appointment fee.

This cancellation policy applies to 291 and rural DVA appointments, where cancellation fees will be charged to the credit card on file.

Cancellation fees are ineligible for Medicare rebates.