Make a referral · Justice or Corrections Referral

Refer someone leaving custody or under supervision

For corrections, community corrections, youth justice, NDIS Justice Liaison Officers and legal or advocacy teams. A reference number is fine if you prefer not to share a name yet.

Your agency

Agency or organisation

Agency type

State or territory

Your details

Your name

Your role

Phone

About the person

Use a reference number or initials if you prefer not to include a full name at this stage.

Person's name or reference

Expected or actual release date(optional)

Order type and key conditions(optional)

NDIS status

Summary and current risks

Disability or suspected disability, behaviours of concern, housing, supports in place, and what you need from us.

I confirm I am authorised to share this information, that the person (or their guardian) has agreed to this referral, and I have read the privacy policy. I understand this form includes health information and will be handled in line with the Australian Privacy Principles.

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What happens next

1We acknowledge your referral or enquiry by email.
2Our team contacts you to talk it through and confirm the right service pathway.
3We confirm the funding arrangement and send a service agreement or proposal.
4A first appointment or scoping meeting is booked. Timing depends on the service requested, Practitioner availability, location, funding arrangements and urgency.

Helpful to have ready

Expected release date or current supervision arrangements
Order type and any conditions that affect where and how we can work
NDIS status: plan in place, access pending, or none
Known disability, mental health and behaviour history, and current risks

Missing something? Send what you have. We will fill in the gaps with you.

Prefer to talk?

(02) 6257 7222 admin@circlesofsupportplus.com.au

If someone is in immediate danger, call 000.

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