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New Client Referral Form

Adults, Children and Families, submit a bookding request below.


Are you a referrer? (Allied Health professional, administrator or part of an organisation) please complete the form below or email solacetherapy1@gmail.com

Is this referral for a child in your care?
Birthday
Day
Month
Year

What happens next? You'll be contacted via SMS and provided a welcome pack with further information. Please also keep an eye your spam inbox.

New Client Referral Form

Adults, Children and Families, submit a bookding request below.


Are you a referrer? (Allied Health professional, administrator or part of an organisation) please complete the form below or email solacetherapy1@gmail.com

Is this referral for a child in your care?
Birthday
Day
Month
Year

What happens next? You'll be contacted via SMS and provided a welcome pack with further information. Please also keep an eye your spam inbox.

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3 1/3 Melville Street, Numurkah, Vic 3636
Email: solacetherapy1@gmail.com

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Telehealth - Nationwide

Solace Therapy acknowledges the Traditional Owners of the land on which we practice, the Bangerang People of the Yorta Yorta Nation, and pay my respects to their Elders past, present, and emerging. We pay our deep respect to the original caretakers, those who created spaces and cultivated connection.

Please note, I am not a crisis service.
If you are in immediate danger, please call 000 or go to your nearest emergency department. any urgent concerns, please refer to the following crisis support services:

Lifeline: 13 11 14 | Beyond Blue: 1300 22 463 | Kids Helpline: 1800 55 1800 | 13 YARN

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