Client Referral

We encourage referrals from authorised persons like doctors, local vets, social workers, hospitals or ACAT representatives.  However, if you do not have a referral from one of these services, you can still submit the form and someone will contact you for further information.






























    Select all that may apply
  • We encourage referrals from authorised persons like doctors, local vets, social workers, hospitals or ACAT representatives. Please enter the details and attach an official request letter below.

    However, if you feel you could use any of our services and have not been referred by someone, please continue to submit this form and we will get in contact with you.
  • ABC Vet Clinic; ACAT Armadale etc.
  • Drop files here or

    Accepted file types: jpg, jpeg, gif, png, pdf, tif, tiff, docx, doc.

  • If you are unable to upload your request letter with this form submission, please click here to view our contact list and email your letter to the appropriate Area Coordinator.
  • This field is for validation purposes and should be left unchanged.