This study explored psychosocial support provision in Australian Early Pregnancy Assessment Services (EPAS). Interviews with 29 health care professionals and key informants showed many services were co-located with antenatal services, run by doctors with limited experience and most did not offer any psychosocial training to staff specific to EPAS. Referral for additional emotional support for first trimester miscarriages was generally not offered, and follow-up typically focused on physical care. All staff demonstrated a strong commitment to providing best possible care to women and acknowledged the need for improved psychosocial support.