Referral forms

Make a referral using any of our forms below.

If you are unsure which service you are after, please use the Head to Health hubs referral form.

Medicare Mental Health e-referral form

Mental health online referral form for health professionals.
View form

Referral form for Psychosocial Support Service

Download

Referral form for BounceBack (Youth Enhanced Services)

Download

Referral form for Mental Health Stepped Care & Head to Health Hubs

Download

Referral Pages on HealthPathways Melbourne

Find out more

Contact

Medicare Mental Health (formerly SupportConnect)

1800 595 212 Monday to Friday from 9am–5pm (excluding public holidays).

(03) 8677 9510 https://emphn.org.au/medicare-mental-health/
Three young people in a supermarket aisle with a trolley conversing.

Medicare Mental Health

Find out more
Three young people in a supermarket aisle with a trolley conversing.

Psychosocial Support Service

Find out more
Young people smiling in a row with a male looking towards the camera smiling
Multiethnic teen company spending time together, sitting outdoor, free space

Learn about Youth Mental Health services

Find out more
Young man sitting on couch chatting to woman in chair

What is Stepped Care?

Find out more

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