By submitting this referral form, you confirm that, to the best of your knowledge, the information provided is accurate and complete and that the person being referred has provided appropriate consent for their personal and health information to be shared with our practice. The information submitted will be used by our clinical team to review the referral, understand the person’s needs and determine whether our services are appropriate. All personal and health information will be handled in accordance with our Privacy Policy and applicable Australian privacy legislation, and reasonable measures are taken to protect information submitted electronically. Submission of this form does not guarantee acceptance of the referral or an appointment, and our clinical team may contact the referrer or patient if further information is required. This referral form is not monitored as an emergency or crisis service and should not be used for urgent clinical concerns. If someone is in immediate danger or requires urgent assistance, please call 000 or contact an appropriate local mental health crisis or triage service.
