All referrals are taken through our national intake service!

Intake & Referrals via phone, email, or medical objects

Further information and forms:


Referral Form - DBT Clinics

If you currently have a Psychologist, Social Worker or Counsellor please provide their details. If you do not have a therapist please type "No current therapist"
Choose your preferred days and times for appointments above.
Click or drag files to this area to upload. You can upload up to 5 files.
If you have any referral information it is always useful to provide this information to support our intake processes.