t +61 2 9219 2002

Please complete this form yourself, on behalf of a family member or client to the best of your ability. Fields marked with an asterisk (*) are compulsory. Please note, as you click 'Next' through the sections, you may need to scroll back to the top of each page.

Before you start, please gather information about yourself or the person to help you complete the form; including; contact details, emergency contact details, family and background information, additional identification information (e.g. Medicare number) and medical/mental health conditions.

Once the form is complete you can submit the form directly and confidentially to the TCF Intake Coordinator.

Important: Please note that if you or the person has a community-based support worker of any kind (e.g Juvenile Justice officer, Probation & Parole officer, Mental Health Worker, GP/doctor support, Counsellor, Mentor, Social Worker or Case Manager), the 2C Risk Assessment Form needs to be completed by the most relevant support worker and sent to the TCF Intake Coordinator in addition to this online referral form.

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One in 3 homeless young people say they are homeless because they are unable to afford housing costs or find work...

Homeless youth are much more likely to have alcohol and drug problems, mental illness and trouble with the law...

33% of youth aged 16 and 17 years have tried at least one type of illegal substance including; cannabis, hallucinogens, amphetamines, ecstasy, opiates or cocaine...

Over 100,000 Australians are homeless on any given night, of which at least 44,000 are aged 12 to 25...