Refer a patient

Have a patient that needs support? Submit your referral below and one of our team will promptly review the referral and reach out. Our goal is to ensure a seamless transition and collaborative approach to the patient’s mental health journey.

"*" indicates required fields

Patient first name*

Patient last name*

Patient date of birth*

Gender*

Reason for referral*

Referrer name*

Referrer provider number*

Referrer email*

Referrer phone*

This field is for validation purposes and should be left unchanged.

Find Us

Room 338, Level 5,
Watkins Medical Centre,
225 Wickham Terrace, Spring Hill,
QLD, 4000

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Opening Hours

Monday	Closed
Tuesday	7am – 5pm
Wednesday	Closed
Thursday	7am – 5pm
Friday	Closed
Sat – Sun	Closed

Facing life’s challenges can be tough. But you’re not alone. We can offer you the support you need to bounce back stronger than ever.

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Refer a Patient