Counselling Self-Referral Form
Interested in Counselling?
Complete our short self-referral form to tell us a little about yourself and what you’re looking for support with.
Most questions are optional, and you can skip any you don’t want to answer.
What happens next
We review the information you have provided
If we have capacity, we will contact you to discuss next steps and arrange your first appointment
If we don’t have capacity, we’ll let you know and discuss other options.
Need support?
You’re welcome to text or email River if you have any questions or need help with the form. River works part-time, so may not respond straight away.
0466 504 850 | river@abettertomorrow.com.au
Privacy Statement: Information provided is collected for intake purposes and handled in accordance with our Privacy Policy and legal requirements