Therapy services referral form

Complete this online form to refer directly to Therapy Pro and Therapy Pro for Kids.

Please note that this form has recently changed. There are 10 fields that must be completed for the form to be submitted. If you need any support to complete the form, please call 1300 004 414.

Do not use this form for GP referrals to Targeted Psychological Therapy services for the Darling Downs and West Moreton PHN. Use refeRHEALTH to refer clients to TPT.

If you would like to check on therapist availability in your area before you refer, you can use the availability enquiry form.

Please note:

  • You will receive a notification email saying that the form has been submitted correctly. If you do not receive a notification email (check your junk emails) then we do not have a copy of your referral.
  • When you click on submit you will receive this message at the top of the page: ‘Thank you very much for your referral. Someone from our intake team will be in contact with you shortly.’
  • If you click on submit and do not receive the thank you message then the form has not been submitted. You will need to scroll to the top of the form to see what the error message is saying, fix the incomplete information and hit submit again.