Make a Referral

Referral Guidelines

How do I refer myself or someone else to ASeTTS?

Anyone can make a referral to ASeTTS, including service providers, medical professionals, a family member or friend of the person or the person themselves.

If you or your client needs an interpreter please let us know on the referral form.

 To refer a client to ASeTTS, you can:

ASeTTS Referral Form

"*" indicates required fields

ELIGIBILITY REQUIREMENTS

REFERRAL GUIDELINES*
ASeTTS services are for people from refugee and refugee-like backgrounds who have experience torture and/or trauma. To be eligible for ASeTTS services ALL the following apply. Please tick to confirm eligibility:

CLIENT DETAILS

Name*
MM slash DD slash YYYY
Address*

REFERRER DETAILS

Name*
Address

REASON FOR REFERRAL

CLIENT CONSENT

CLIENT ELIGIBILITY

Please indicate the symptoms experienced*
Please indicate the symptoms experienced

Additional information

Please indicate if the client has additional needs in the following areas

PARENT/CARER DETAILS (IF CLIENT IS BELOW 15 YEARS OF AGE)

Name
Address

Want to learn more about what we can help with? Read more about ASeTTS Services

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