STOP - Professional referrer? Please use the Professional Referral Form
This form is designed for you to refer yourself, a friend or family member to headspace Launceston or Devonport.
Please note: headspace Launceston and headspace Devonport are not acute mental health services or crisis services. If you have concerns for your own or someone's immediate safety please contact the Mental Health Helpline on 1800 332 388. For urgent medical assistance please call: 000.
Your Privacy is important to us. This info will be kept confidential and used only to give you the best care possible. Please read the headspace 'Just between us' confidentiality statement.
Young Person Details:
Emergency Contact/Next of Kin MUST BE OVER 18:
PLEASE NOTE WE ARE UNABLE TO MAKE CONTACT WITH THEM IF THEY ARE NOT AWARE OF THIS REFERRAL.
Reasons for Referral