Admissions enquiry

Our online admissions enquiry allows one of our trained mental health caregivers to contact you to privately discuss how we can help.

Please complete the form and we will contact you during regular office hours (9.00am to 5.00pm Sydney time).
If you require urgent help please call Lifeline: 13 11 14

Please complete the form and we will contact you during regular office hours (9.00am to 5.00pm). If you require urgent help please call Lifeline: 13 11 14

First name:

Last name:

Telephone:

Email:

Preferred contact method:

I would like to know more about:

Type of service I am interested in:

Location:

I am enquiring for:

Any other information

Please tick below:

Once you have submitted this form please allow 24 to 48 hours for a reply during business hours.

Admissions enquiry

Interested in our treatment programs?