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Information required to make a referral

The school contact person should try to have the following basic information. For students who self-refer, the school contact will still be required to confirm all information requested below, with the exception of presenting issues/reason for referral, which the student is not required to share with their school contact:

  1. Confirmation of consent form completion*
  2. Student first name and surname
  3. Student Date of Birth
  4. Student personal telephone number and email address, home address or address where they will be located during counselling session and the contact details of a trusted adult (for voice or video conference appointments)
  5. Suburb where the student resides
  6. School name
  7. Referrer first name and surname
  8. Referrer role (can include self-referral)
  9. Referrer contact details (email and phone numbers)
  10. Brief description of presenting issues / reason for referral.**

*Please note that it will not be possible to proceed with a referral to this initiative unless either parent/carer consent or student consent for those deemed to be a mature minor has been obtained.

** Note that information regarding presenting issues may be limited for self-referrals and this will therefore be obtained from the student by the headspace clinician in the initial appointment.

Updated