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Primary Care Connect Intake


Emergency help

This form is not for urgent help.
If you need immediate help, please attend a hospital or dial 000 in an emergency.

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If you don’t see the referral form, this is usually because you are using the Internet Explorer browser and your security settings are not allowing access to certain parts of our website, including this form. If this is the case, we recommend changing your settings or try using Google Chrome browser, which you can download here, at the default settings.

If you would prefer a form you can print, download one of the following forms. If you use one of these forms, please be sure to complete ALL information.

Alcohol and other Drug Services

Family Violence and Indigenous FV

Financial Counselling

Gamblers Help

Generalist Counselling

Integrated Health/Chronic Disease

Parent Education

Refugee Services

Please email tgriffiths@primarycareconnect.com.au if you continue to have problems.