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.
Mental Health
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
Suicide Prevention Initiative - Aftercare
Residential Aged Care
Early Years Outreach Clinic
Allied Health Mental Health
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.
Aboriginal Health
Aboriginal Health Access
Integrated Team Care (ITC)
Priority Allied Health Services (PAHS)
EASTERN- Armidale, Glen Innes, Guyra, Inverell, Kootingal/Nundle, Manilla, Qurindi, Tenterfield, Walcha, Tingha
WESTERN - Barraba, Bingarra, Boggabri, Boomi, Gunnedah, Moree, Mungindi, Narrabri, Warialda, Wee Waa
