Please complete the below form and a member of our team will be in contact within 1 business day. If you would prefer to speak to a member of our team please call 07 5647 3438.

Referrer Information

If you have a self-managed plan please type "self" in the box above

Participant Information

If same as referrer please type "same as referrer"
DBT Clinics are specialist private mental health services specialising in skills development for individuals with emotion regulation difficulties (maladaptive under-control) and difficulties with social signaling in relationships (maladaptive over-control). An assessment is performed before an individual commences our DBT or RO-DBT programs to ensure the most suitable evidence informed program for each individual.
Click or drag files to this area to upload. You can upload up to 4 files.
Please provide an overview of the support requested including: anticipated duration of support, special requests, oreintate DBT Clinics to any particular preferences or needs.