help for someone else

If you are looking to help someone you know, please submit the form below.

By filling out this form, you are informing us that you know of someone that currently has an issue regarding their mental health, and needs the help of an advocate.

When using this referral form, please ensure you include both your own full name (referrer) and contact details, along with the details of the person you are referring (person to be referred).

We can only accept your referral if you confirm within the ‘Client History’ section that the person is aware you are making this referral. This is in line with our advocacy policy.

It is important that you explain what problems, the person you are referring is having, in accessing support for their mental health needs in the referral form, so we can provide the best support we can.

    About you, the referrer

    About the person you are referrering

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