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Referral Form

Forms and Applications

Please select and complete the relevant form below, then email it to us at We will confirm receipt as soon as we receive your form.

GP's Referral Form
Schools Referral Form
Self Initiated Referral

Requirements for Referral

To be eligible for a referral to our services, young individuals must meet the following criteria:

  • Age Range: The young individual should be between 0 to 25 years of age.
  • Location: The young individual must reside within Western Australia.
  • Review Process: Our team will thoroughly review every referral to ensure the young individual receives the most appropriate and effective care.

We welcome all referrals, including self-referrals, and our specialised team will carefully consider each one.

How can we help you?

We recognize the individuality of each young person and their unique needs. Our approach to care is centred around the individual, emphasizing respect, meticulous attention, and professional expertise. We customize our services to align perfectly with your specific circumstances and requirements.

Operating Hours

Mon - Fri: 9am - 5pm Sat: 8am - 2pm


1070 Hay Street, West Perth, 6005

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