Referrals

Make a referral to Quovus

Complete the form below and our intake team will confirm suitability, timeframes and what we need to get started.

If a situation is urgent, call 0431 764 455 so we can triage quickly.

Referral form

Tell us about the referral

Fields marked with an asterisk are required. Your referral is sent straight to our intake team and you'll receive an email confirmation.

Your details

Your name *

Organisation

Your role

Email *

Phone

Participant and service

Service requested *

Participant first name or initials

Participant age

State or region

Funding type

Restrictive practices in place?

Urgency

Reason for referral

Briefly describe the support required, behaviours of concern and current supports *

Please avoid including sensitive personal information beyond what is needed to assess the referral.

I confirm the participant, or their guardian or nominee, has consented to this referral. *

Next step

Our team can talk through the most suitable service and what information you'll need.