Make a referral to WHW

Referrals to children’s and youth counselling service:

To make a referral to Women’s Health West’s children’s counselling team, please fill out this referral form (pdf) and email it to counselling@whwest.org.au. If you experience difficulties opening the form, download it, save it, and open it from Adobe Acrobat Reader.

Please contact intake on (03) 9689 9588 if you need further information or have a query about the form.

General referrals:

To refer a client to Women’s Health West for family violence support, please fill out the form below.

Alternatively, please download the form and email it to fvassist@whwest.org.au. Please remember to save any changes before emailing the form.

If you have any queries or would like to speak to our intake team, please call (03) 9689 9588 or email fvassist@whwest.org.au.