Children and Families Counselling referral form

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 or the person you are supporting has experienced sexual violence or harm in the past 7 days and would like immediate support and information, please call the SASS 24/7 Helpline on 1800 697 877.
If you would like information about a forensic medical examination, please call the number above as soon as possible rather than wait for a response to this form, as collecting evidence is time-sensitive. Our team can explain what’s involved, answer your questions and support you to make an informed choice.

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Sexual Assault Support Service (SASS) acknowledges the Tasmanian Aboriginal peoples as the traditional and original custodians of lutruwita. We pay our respects to their Elders, past and present, recognising that they possess deep knowledge, traditions and culture that can enrich our future. We extend our respect to all Aboriginal and Torres Strait Islander people and acknowledge the effects of sexual violence through colonisation that continue to cause harm today.
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We acknowledge and extend deep gratitude to Victim-Survivors whose expertise and wisdom guide our path forward in addressing and preventing child sexual abuse. Their insights shape our strategies and responses. Additionally, we honour and remember Victims who are no longer with us. In their memory, we commit to profound and meaningful change