Quick Exit

Forensic Therapeutic program

This form is for professionals and service providers. For self-referrals or families, please phone us (03) 6231 0044 during business hours for direct support from our friendly team.

If you have experienced sexual violence or harm in the past 7 days and would like immediate support and information, please call the SASS 24/7 Helpline (1800 697 877).

PDF referral

Upload your completed PDF referral form via the secure portal. For security reasons, do not send the referral form via email.