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Working for a support service or as a case worker for an individual affected by natural disaster? Please fill in our referral form below and we will be in touch on how we can provide support.

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Referral Form

Please complete below form for referral.

If the individual is in crisis, please refer to the Mental Health Line.

If there are immediate concerns for safety, please contact Emergency Services on 000.

Please note intakes will take place at our Ballina offices with outreach sessions to be arranged during this initial meeting.

Are there current mental health concerns?
Preferred Meeting Location
Thanks for submitting!
Our team will make contact within 3 business days.
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