Make a referral to Tresillian

Please note: This form is to be completed by Health Professionals or Government and Non-Government Organisations (Professionals) only. 
If you are a parent requiring a referral to Tresillian please see further information on Self Referrals.

Referrals will be assessed on a case by case basis, as per the latest Government public health advice. 

  1. About you
  2. The child
  3. The parent
  4. Preferences
  5. You're done!
Please correct the following errors before resubmitting:

User

No user found for the organisation selected.

About you

Your organisation

Will you be referring to a location in the ACT? *

Please have URN numbers ready for all children and the parent if known.