Refer patients to us using this online form

Alternatively, you can call us on 0493 027 696

Client/Patient Details

First Name

Last Name

Phone Number and/or Email Address (if not on referral)

Required Acknowledgement

Please note that this is not a crisis support service. If the person you are referring seems in immediate danger, please call emergency services on 000. If they are experiencing a mental health crisis and require support, please call Lifeline 131 114, Kids Helpline 1800 551 800, or a relevant local mental health crisis team.

I acknowledge this this not a crisis support service and my enquiry does not require emergency support.

Refer patients for psychological therapy in Canberra Australia