Make a referral to Tresillian

This application is to be completed by health professionals only.
QEII Family Centre Referrals are not covered by this form. Contact the Central Health Intake link on 02 5124 9977 between 8am and 5pm, Monday to Friday and 8am to 3:30pm on Wednesday.
Referrals to QEII Family Centre may be sent by Fax 02 5124 1082 or emailed to CHIIntake@act.gov.au. Relevant forms may be located here.
Albury Wodonga referrals are not covered by this form. Contact the Unit directly on 02 60517174.

  1. About you
  2. The child
  3. The parent
  4. Preferences
  5. You're done!
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