Referral Forms and Templates
On this page you find all our referral forms and templates. If you can’t see one you would like please contact us.
Please take care when downloading templates into clinical software. Download the Importing Templates into Clinical Software Tip Sheet if you are unsure.
Please select which HealthWISE service you are needing a Referral Form or template for:
For information about each service and its programs, please see the 'Our Services' menu at the top of the page.
When a child’s thoughts, feelings and behaviour are out of balance, and the child is unable to function or cooperate in an appropriate way for their age or situation, this child may benefit from a professional diagnosis and management plan.
As professionals, how are we coping with the demand for paediatric behavioural services? What resources and services do we need? Where do we find these resources and services?
HealthWISE and Western Sydney University invites health, education and community services professionals to join us for aninformation and Q & A session to explore these issues in our region.
When: Friday 10 May 2019
Time: 1.30pm – 8pm, afternoon tea & dinner provided
Where: Narrabri Aquatic Centre, Multi-Purpose, Room, Tibbereena St, Narrabri
Prof John Whitehall, Western Sydney University – Visiting Narrabri Paediatrician
Dr Jenny McDonald, Western Sydney University – Autism Spectrum Disorder
Assoc Prof Andrew McDonald, Western Sydney University – Behaviour disorders in children, in particular ADHD
Dr James Wick, Royal Far West Psychiatrist – Childhood and youth psychiatric conditions and assessment
Dagney Hopp, Royal Far West Occupational Therapist – Regulation Strategies for Children
Local Primary & High School Principals
HealthWISE Mental Health services provide targeted psychological therapies to clients who are experiencing mild to moderate mental health disorders,
and who would benefit from short-term interventions.
Please Note that HealthWISE is not a crisis service
CLIENTS WHO ARE ASSESSED AS HIGH RISK SHOULD BE REFERRED TO HNELHD MENTAL HEALTH.
GP mental health referral forms & information sheets
Referral forms and information sheets for New England North West NSW
Referral forms for Darling Downs West Moreton QLD
Suicide Prevention Initiative - Aftercare
Residential Aged Care
Early Years Outreach Clinic
Mental Health Self-Referral Form - Drought
This service provides person-centred, psychological support and strength-based strategies for people whose lives have been directly impacted by the ongoing drought and are experiencing mild to moderate mental health symptoms.
This service is currently being offered in Barraba, Gunnedah, Manilla, Quirindi, Tamworth and Walcha.