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.

About you
The child
The parent
Preferences
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Please correct the following errors before resubmitting:

User

User option *

Organisation *

Search Name

No user found for the organisation selected.

About you

First name *

Surname *

Profession *

Other *

Provider Number *

Your organisation

Name *

Phone *

Email *

Address *

Unit/level number

Town *

State *

Postcode *

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

Yes

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