Referral to our Individual Therapy and Skills Classes

Referrals are accepted through our DBT Clinics intake services via email, phone, fax, medical objects, or by completing the below online referral form.

• Call our team on 07 5647 3438
• Send an email to email: intake@dbtclinics.com
• Have your GP or Psychiatrist fax your referral to 07 5676 6771
• Ask your GP to send a referral via Medical-Objects to Dr. Peter King (5949971K)

Or you can complete the following online form

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Referrer's Name *

First

Last

If you are self referring to our programs please still list your name and details in this section

Referrer's Email *

Referrer's Phone Number *

Name & Contact Details of the individual being referrered *

If you are self referring please state “Self-Referral” in the box above. If you are a health professional, carer, support worker or other support please include the individuals preferred contact details and name in the box above.

Which RO DBT Services are you looking to access? *

• Individual Therapy
• RO DBT Skills Class
• Overcontrol Assessment
• Autism Assessment
• I am not sure, and would like to be contacted by an intake worker

Which is your preferred treatment location *

• Brighton VIC
• Mona Vale NSW
• Southport QLD
• Telehealth (Online)
• No preference

Further Information or Questions

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