The fields marked with an asterisk are compulsory and must be filled to successfully submit this referral form.
If you need help to complete this form, please call the QPASTT Duty Officer on (07) 3391 6677
We prefer to receive electronic referrals through the form below, however, if you cannot complete an electronic referral, you can also complete this PDF form and return to us through the details provided.
Acknowledgement of Country
QPASTT acknowledges Aboriginal and Torres Strait Islander peoples as the traditional custodians of the land where we live and work and we pay our respect to their cultures, their ancestors and their elders – past, present and emerging. We recognise the continuing trauma caused by losses of children, language, lore and land and the impact that this continues to have on psychological, physical and spiritual wellbeing. We recognise that since time immemorial, Aboriginal and Torres Strait Islander peoples have nurtured communities of belonging and thriving and we work in solidarity towards a future of healing and justice.
QPASTT is committed to creating a safe, inclusive and equitable environment for people from all genders, sexualities, religions and cultures – for our clients, communities and our staff.
QPASTT is committed to the safety and protection of children, young adults and vulnerable people in all its work. When entering our offices or engaging in our programs, staff, volunteers and contractors are expected to conduct themselves in a manner which is consistent with QPASTT core values and the safeguarding practices which are inherent in all QPASTT policies. QPASTT provides a welcoming, inclusive, trusted, and safe environment for all clients while acknowledging the importance of establishing and maintaining clear professional boundaries that protect everyone and promote safety.