the flourish collective referral form

Thanks for choosing flourish!

The flourish collective has a transdisciplinary team (Mental Health/Social Workers, Clinical/Psychologists, Mental Health/OT) who all provide psychological therapies.

We do not currently offer any physical therapies.

We specialise in supporting children (of any age) through to young adults and their families. We provide Eating Disorder therapies to people of all ages.

We allocate referrals based on your individual need, and generally cannot accept referrals for a specific clinician or discipline. We aim to match referrals to the clinician with the most relevant skills and experience. 

Please note we have a waiting list for all services, acceptance of referral will mean you are placed on our waiting list - we will not be able to offer services immediately.

As we have a significant waiting list, you may be interested in our short-term services;

• 'Single Session Intervention'

- for eating disorder referrals

- initial parent consult where appropriate for referrals of children/young people to discuss potential pathways and strategies. 

• 'Brief Therapy Intensive'

- Therapy program offered during school holiday periods where a short-structured service would be beneficial while awaiting ongoing services.

Short-Term Therapies – Please book for a long appointment with your GP to discuss so they can initiate referral if eligible. STT referrals need to go through GP, not directly to flourish.

• I confirm that I have completed this form with the consent of the client and I have ensured the client fully understands the purpose and nature of this referral.
• I confirm that I have completed this form with the consent of the clients guardian (if relevant) and I have ensured the clients guardian fully understands the purpose and nature of this referral.
• The client / clients guardian gives the flourish collective permission to contact me, as referrer, to discuss the referral if they cannot contact the client.
• The nominated ‘preferred contact person’ fully understands the purpose and nature of this referral, and has consented to being contacted for further information, with the understanding that additional information will need to be provided for the referral to progress.
• Both myself and the client / clients guardian understand that the flourish collective has a waiting list and is not a crisis service.
• Both myself and the client / clients guardian understand that in submitting this form, the details provided will be entered into the flourish collective's practice management system. Consent is provided for this by signing below. 

• I confirm that I have completed this form and that I fully understand the purpose and nature of this referral.
• I confirm that I have completed this form with the consent of the person being referred (if not self) and I have ensured they fully understand the purpose and nature of this referral.
• I confirm the ‘preferred contact person’ nominated above (myself or other) fully understands the purpose and nature of this referral, and has consented to being contacted for further information, with the understanding that additional information will need to be provided for the referral to progress.
• I understand that the flourish collective has a waiting list and is not a crisis service.
• I understand that in submitting this form, the details provided will be entered into the flourish collective's practice management system - I consent to this.

Once you hit submit, the information you have provided will be sent through to us. We will then review this, and check the referral is appropriate for our service.

If so, we will pop the details into our system and a link will be emailed to the ‘preferred contact’ listed. The link will take you to an online form, where further information will need to be provided. Please note this will need to be completed for the referral to progress.

Thanks for making a referral to the flourish collective!