Referrals 

Please use the following forms to refer your clients to Wisemind Perth. 

The following form is designed for health professionals or agencies and organisations to refer clients. 

If you are an individual and want to access our therapeutic services, no referral is necessary. Please get in touch with us directly or visit our services page where you can book online. 

Referring your clients to Wisemind Perth 

If you wish to refer a client for counselling or therapeutic services please use the following form and provide as much information about your client as possible.

We will aim to get in touch with them within two business days after receiving your referral.


Has your client disclosed thoughts of suicide or self-harm and have indicated they are likely to carry it out?

If so, please do not continue with this referral.

Wisemind is not an acute service. Call triple zero (000) or the Mental Health Emergency Response Line 1300 555 788 (Perth) or 1800 676 822 (Peel region).