1800 862 363

Referral Forms

Referral Forms

If you or someone you know may benefit from our support, please phone our intake team on 1800 862 363 (Mon to Fri 8:00 am to 4:00 pm).

Referrals can also be made by downloading and completing our Referral Form:

SEMPIR REferral Form

SEMPIR REferral Form

Download PDF
[580 kb]

 

You can return the referral form by any of the following options:

Phone: 1800 862 363

Secure Fax: 9793 9052

Post: Partners in Recovery at SEMPHN, 314A Thomas St, Dandenong, 3175