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Make a referral

Who are you referring?

Who is this submitting this referral?

Who is the best contact for this client 

Medical details

Please note: staff have availability to see new clients immediately commencing January 2024.

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About referrals:

All referrals are managed by our admin staff. They will gain an understanding of any difficulties and goals for therapy, and make an initial appointment with the most appropriate clinician, also providing you with our Welcome Paperwork and Service Agreements. If clinicians are at full capacity at the time of your referral, you will be placed on a waiting list.  You will be contacted as soon as possible following the submission of your referral.​

** Please note, should you have any difficulty filling out the online form, please ensure you have answered all questions with an asterisk beside them. This form can not be submitted without these filled in. 

Alternatively, you can print and fill in our referral form manually, and email it through to admin@ourmindfulyouth.com.au. This is found above as a PDF file.

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