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How to Refer Self Referral Agency Referral

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Cumberland Women's Health Centre

Donate REFERRALS How to Refer Self Referral Agency Referral Quick Exit

Self Referrals

Cumberland Women’s Health Centre is a not-for-profit organisation focused on improving the health and wellbeing of women in the Parramatta, Holroyd and Baulkham Hills area.

We accept self and agency referrals. To discuss a referral, please contact us on (02) 9689 3044.

Note: if you are an Agency, please click here to complete the Agency Referral Form instead.

Fields marked with ‘*’ are mandatory.

Name *

First Name

Last Name

Date of Birth

Please enter your date of birth (DD/MM/YYYY)

Phone *

Please enter the best phone number to contact you

Is it SAFE to leave a message on your phone? *

Please enter the best email to send information to

Do you identify as either of the following? *

Aboriginal or Torres Strait Islander (ATSI)

Culturally and Linguistically Diverse (CALD)

Neither of these

Your current suburb? *

Reason/s for contacting us? *

Tick one or more boxes

Request for Domestic Violence counselling

Request for general counselling

Request for information/community resources i.e. brochures, workshops etc.

Mental health issues (i.e. anxiety, depression)

Social isolation

Recent loss/trauma/crisis/illness

Housing and financial assistance

Lack of family & social support

Links to other services

Drug & alcohol issues

Relationship issues

Parenting

Sexual assault

Work/employment issues

Financial issues

Pain management issues

Other health/medical issues

What are your main concerns at the moment? *

If an interpreter is required, what language?

Any existing AVO order in place? (If applicable)

Thank you for submitting the form.

We will be in touch with you shortly.

We would like to acknowledge the people of DHarug Nation who are the traditional owners of the land on which we live and work.
We pay our deepest respects to Elders past, present and emerging, and recognise their continuing connection to land, waters and culture. Soverignty was never ceded.
Australia is, was and always will be, Aboriginal Land.

Cumberland Women's Health Centre

69 Harris Street,

Harris Park, NSW, 2150,

Australia

(02) 9689 3044 adminworker@cwhc.org.au

Hours

Mon 9am - 4:30pm

Tue 9am - 4:30pm

Wed 9am - 4:30pm

Thu 9am - 4:30pm

Fri 9am - 4:30pm

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