How to make a referral (health care professional)

To begin the registration process—or to make an enquiry—please submit the form below and we’ll email out the registration form.

If you are a social worker, cancer care or allied health professional you can refer a patient that meets the following criteria:

Must have a current diagnosis of cancer by an Australian Medical Specialist and be receiving specialist approved treatment.
Must have at least one child aged 12 years or under.

If you are a healthcare care professional or social worker please use the contact form below to receive a registration pack. This is the best and quickest way to get in touch with us. We appreciate your enquiry and will contact you as soon as possible.

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- I'm a cancer-care professional and need to make a referral (please provide your contact details only)
- I would like to enquire about your service
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