Referral / Service Enquiry

If you are interested in receiving services from Veritable, or would like to make contact on behalf of a participant or client, please complete the form below. We will make contact with you within 10 working days. For your records, we will also send you a copy of the referral submitted below.

Information for referrers:

  • Referrals are reviewed fortnightly, and clients are placed on a waitlist
  • The waitlist ensures that Veritable can provide high quality services to clients, with caseload numbers carefully set to maintain the best service
  • Additional information may be requested by Veritable upon receipt of the referral (and if so, the client is not placed on the waitlist until the information is received from the referrer)
  • Referrals are prioritised based on date received, client needs, and risks to the client and others
  • Relevant factors taken into account include the client’s age, support situation, any contact with the justice system (or risk of contact), and frequency and severity of issues arising
  • Ensuring sufficient detail in referrals enables an informed assessment of the referral and priority on the waitlist – more information will assist the client’s needs to be properly considered

If you would prefer to email the referral and supporting documents, please use the Veritable Referral Form v5

Veritable Referral / Service Enquiry Form

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Client services requested
Client name
Address
(Include house phone if client is in supported accommodation)
Interpreter required
Include contact name and email for invoices
Please provide sufficient detail to assess the referral. This includes detail about the current issues and concerns, relevant background, functional impairments or disability, brief description of any complex needs, and (if for behaviour support) the type and seriousness of any behaviours of concern.
Please provide the goals for the client's support to ensure services align
Guardian or representative name (if applicable)
Do you have consent from the client or their representative (if applicable) for this referral?
Your Name (the Referrer)
Veritable will make contact to discuss this referral and how best to help the client to have a safe and supportive experience.
Where would the client like the service to take place?
If yes, if available, a copy of any current or previously completed behaviour support plan will be requested prior to contact with the client
If yes, please describe
If yes, please describe
What are the client's usual living arrangements
If yes, provide relevant details
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