This form is for referring yourself (or a young person you are supporting) to headspace Collingwood, headspace Frankston or headspace Rosebud. These centres are managed by YSAS, one of Australia’s largest alcohol and other drug support services for young people aged 12-25.

Unfortunately we are unable to process referrals to other headspace centres – if you live in another area, you can find your closest headspace centre here: https://headspace.org.au/headspace-centres/.

Referring yourself?

Hey – well done!  It’s a big step to link in to support! We aim to get back to people within 5 working days. If you want some more info about headspace (or to access some online support tools) you can check out https://headspace.org.au/ while you wait!

Referring someone else?

If you are a family member/friend/worker/support person referring a young person, please note that headspace is a voluntary service – young people are able to choose if they want to link in with us. 

We always recommend discussing the referral with the young person and gaining their consent.  

If you are referring from an agency/organisation, please attach any relevant documentation/reports – this helps us when planning support options. 

About the form

Please complete as much as you can, as this information helps to inform what support we can offer you! 

There are some questions (marked with an asterisk) that you are required to answer to submit the form. 

Please note – we are not a crisis service. 
If you or someone you know needs immediate support you can attend your local Urgent Care clinic or Emergency Department, or call:
Emergency – 000
Lifeline – 13 11 14
Beyond Blue – 1300 22 4636
Kids Helpline – 1800 55 1800