Make a Referral

04 Aug 2026

At headspace Ballarat, accessing support is simple. 

You can make a referral for:

  • Yourself (if you’re a young person aged 12–25)

  • A young person you care for (as a parent, carer, teacher, coach, or friend)

  • A young person you support professionally (as a GP, school counsellor, or community worker)

  • Parent & Carer Peer Support (for parents and carers of young people)

Self-Referrals 

If you are a young person (or the parent/carer of a young person) click on the preferred program below to access that referral form.


Use the Single Session Support Application Forms to access one session (click here to find out more about Single Session Support):

Single Session Support Application

Alcohol and Other Drug (AOD) Single Session Support

Use the Intake Assessment self-referral form to access ongoing support. Ongoing support may include:
- Mental health support
- Dietetics
- Work and Study with headspace Ballarat's Youth Employment Program (YEP)
- Peer Work

Intake Assessment Self-Referral


If all you need is access to the Sexual Health Clinic or Immunisation Clinic, use the Physical Health Registration Form:

Physical Health Registration Form


For parents and carers wanting to learn how they can support their young person aged 12-25 years, use the Parent & Carer Peer Support Self-Referral Form:

Parent & Carer Peer Support Self-Referral

 

Professional Referrals

If you are a professional supporting and referring a young person, click below:

Intake Assessment professional referral

Enhancing Mental Health Support in Schools Referral

Use this form if you are a wellbeing worker supporting a student to access school-linked support under the Enhancing Mental Health in Schools program.
A list of participating public secondary schools is available within the referral form.

If you are a professional supporting and referring a parent or carer to learn how they can support their young person aged 12-25 years, click below:

Parent & Carer Peer Support professional referral


Paper copies of referral forms are available at the centre, or by calling 53044777.

What Happens After a Referral?

  1. Our team reviews the referral details.

  2. We contact the young person (and parent/carer if appropriate) to explain options.

  3. We organise an initial appointment — this could be:

    • Single Session Support

    • Intake Assessment leading to up to 6 Youth Work sessions

    • Group programs or peer support

    • Parent & Carer Peer Support

 

We aim to make the process confidential, safe, and supportive for everyone involved. 

 

Information You’ll Need

When making a referral, it’s helpful to provide:

  • Young person’s full name, date of birth, and contact details

  • Parent/carer contact details (if relevant)

  • Reason for referral or current concerns

  • Any supporting information (school, GP, or previous services)

 

Providing as much information as possible helps us connect the young person or parent/carer with the right service quickly. 

 

Confidentiality

All information is treated with care and confidentiality.

  • We do not share details unless there is risk of harm or legal requirements.

  • Our priority is keeping young people, families, and carers safe while providing the best possible support.


Need Help Deciding?

Not sure what support is right for you, someone you care for, or a parent/carer?

 

Our team will guide you through options and help you make the referral that’s best for your needs.