Call +61 483 363 867 admin@clearmindservices.com.au
ClearMind Services — support with clarity
Make a Referral

Make a Referral

Looking for support for yourself, a family member or someone you work with? ClearMind Services welcomes enquiries and referrals.

How this form sends

Submitting this form opens your own email application with your answers filled in, ready for you to send. If you would rather not use a form, you can call us on +61 483 363 867 or email admin@clearmindservices.com.au directly — either is completely fine.

About the participant
Optional at this stage.
Optional at initial enquiry — you do not need it to get in touch.
So we can tell you straight away whether we cover your area.
Preferred contact details

Please give us at least one way to reach you.

Preferred method of communication
The supports being requested
In your own words is perfectly fine — you do not need to know the official NDIS names for things.
For example: weekday mornings, or Tuesday and Thursday afternoons.
Anything that would help us communicate with you well — an interpreter, Easy Read, a support person present, a quiet environment, and so on.
About you, if you are referring someone else
Leave blank if you are referring yourself or a family member.

This form is not for emergencies

This form is not monitored around the clock and is not a crisis service. If you or someone else is in immediate danger, call 000. For crisis support, call Lifeline on 13 11 14, or 13YARN on 13 92 76.

Let’s start with a conversation

Whether you are looking for support for yourself, a family member or someone you work with, ClearMind Services is here to listen and understand what you need.

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