Print:

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 referral form.

Referral form for Psychosocial Support Service

Referral form for BounceBack (Youth Enhanced Services)

Mental Health Stepped Care & Head to Health Referral Form

Referral Pages on HealthPathways Melbourne

Contact

EMPHN SupportConnect team

(03) 9800 1071 Monday to Friday from 9am–5pm (excluding public holidays).

supportconnect@emphn.org.au(03) 8677 9510 https://supportconnect.org.au/

Three young people in a supermarket aisle with a trolley conversing.

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

Young man sitting on couch chatting to woman in chair

Was this content helpful to you?

Yes

No

Thanks for your feedback!