Make a referral

Support coordinators, plan managers, health professionals, families and participants can all refer to Esteem Mentoring. Complete the short form below and we will contact you to talk through the participant's needs and our availability. We always speak with the participant before any support starts.

Support coordinator on a phone call at a desk with notes and a laptop

Referral form

About you
About the participant

First name only for now.

Support requested
Supports (required)

Choose at least one.

Please do not include clinical, medical or behaviour details. We will arrange a secure way to share documents.

Consent

Please do not upload or include clinical reports, behaviour support plans or other sensitive information in this form. Once we have spoken with you, we will arrange a secure way to share any documents we need.

What happens next

  1. We contact you, usually by phone, to talk about the referral.
  2. We check suitability and availability, and let you know honestly if we can help.
  3. We arrange to meet the participant, and anyone they would like to involve.
  4. If everyone is happy to go ahead, we move through intake, planning and worker matching. See Getting Started for the full process.

Talk with our team

Call us on 07 3882 1863, Monday to Friday, 9am to 5pm, or send an enquiry and we will get back to you.

Enquiring does not commit you to anything.

Call 07 3882 1863Enquire