To find out more about the Medication Support and Recovery Service, or make an appointment, please fill in the self referral form below and we will contact you within 2-3 business days.
You can also call us on 1800 931 101 (9am - 5pm, Mon-Fri) to speak to our intake worker.
Your Contact Number:
Your Email Address (optional):
Your Date of Birth:
Suburb or postcode where you currently live:
What medications are you concerned about?
Do you have anyone else supporting you at the moment?
Mental health professional / Psychologist
Physiotherapist / Occupational Therapist / other health worker
Family member or friend
No other supports at the moment
When is the best time for us to call you? Is it ok for us to leave a voicemail if we can't reach you?
Do you require an interpreter?
How did you hear about us?
Thanks for getting in touch. We will contact you within 2-3 business days. If you are in crisis or need urgent or after hours help, please contact one of these services:
Emergency services: 000
Lifeline: 13 11 14
Directline: 1800 888 236
Nurse on Call: 1300 60 60 24
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