InterLink Registration Form
InterLink provides individual and group counselling, plus peer navigation to people with innate variations of sex characteristics of all ages and the parents and carers of young people.

We recogise that people use a use the terms to talk about their innate variations of sex characteristics (sexual anatomy, reproductive organs, hormonal patterns, sex chromosomes) when these vary from stereotypes of female or male bodies (e.g. intersex, differences of sex development or ‘DSDs’, androgen insensitivity syndrome, congenital adrenal hyperplasia, XXY/Kleinfelter, MRKH, hypospadias etc). 
Read more about intersex or specific variations on our webiste. 

We also recognise the diverse needs of people accessing InterLink and value the rights of our clients. This is outlined in our Service User Rights and Responsibilities Charter. 


Please provide us with some of your details so that we can match you with the best InterLink service.



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Email *
Name *
Pronouns
Phone *
What is the postcode where you live? *

Do you identify as Aboriginal and/or Torres Strait Islander?

Clear selection

Do you have a disability, and/or long-term chronic health condition?
Clear selection
Do you have any accessibility issues we should be mindful of?
Do you have a Medicare Card?
Clear selection
Do you have a Health Care Card or a Pensioner Concession Card? (tick all that apply)
Do you have an innate variation in sex characteristics  (intersex variation, "DSD") *
Required
If you are a parent/guardian of a young person with an  innate variation in sex characteristics or registering on behalf of someone else, who are you registering for (select all that apply)?
What age groups you are registering for? *
Required
What style of support are you looking for (select all that apply)?
 *
Required
Have you already connected with peer support for your (your child's) innate variation in sex characteristics?
Clear selection
Do you currently have access to a trusted mental health practitioner?
Clear selection
Is there something specific you hope to get from InterLink or is there anything else you would like to share with us at this point?
How did you find out about InterLink? (tick all that apply): *
Required
Thank you for completing this form.  We will contact you soon to make an appointment where we can continue your registration.  
For more information about InterLink services please contact us on 07 3017 1724 or email info@ilink.net.au
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