Proper Allied Health
A parent and child walking into the welcoming clinic entrance in natural daylight.

Referral & enquiry

Referral & Enquiry Form

Please provide brief details so we can understand the enquiry and contact you about next steps. Someone from our team will be in touch within one business day.

1Who is completing this form?
2Person seeking support
4What support are you seeking?
5Funding and referral information

PDF, Word doc or image. Maximum 5 MB.

6Appointment preferences
7Consent to contact

We handle your information in line with the Australian Privacy Principles.

This form is not monitored 24/7. If your situation is urgent, please call 000 in an emergency or Lifeline on 13 11 14.

Taking the first step

Seeking support can feel daunting.

If you would like to discuss whether therapy may be right for you, your child or a family member, please get in touch.

Contact the practiceExplore services
Phone: 0412 925 686 · 0423 555 700Email: info@properalliedhealth.com.au