Please select and complete the relevant form below, then email it to us at
info@healancentre.com. We will confirm receipt as soon as we receive your form.
Referral Form
Forms and Applications
Requirements for Referral
To be eligible for a referral to our services, individuals must meet the following criteria:
- Location: The 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.
Please be advised a GP referral is required for Medicare rebate consideration.
How can we help you?
We recognise 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.
Send us a message
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