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Managing your Mental Health

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Sureway Head Office

Suite 3, 34-36 Fitzmaurice Street Wagga Wagga, NSW 2650

1300 SUREWAY Hotline

M-F, 8:00am to 5:30pm AEST/AEDT

1300 SUREWAY (1300 787 392)

[email protected]

Sureway acknowledges and pays respect to the Traditional Custodians of the land on which we work and live.

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Complete a referral

Use this form to complete a new client referral to Sureway Health and Wellbeing.
Are you a returning client? Book an appointment. Have a question before you get started? Phone our friendly team on 1300SUREWAY.

You can get started in four easy steps.

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11. Referral details

22. Fill in your details

33. Type of Referral

44. Authorisation

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Client’s Details

First Name*

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Are you an NDIS Participant?

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Is the person you are referring an NDIS participant?

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Referrer Details

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Does the patient have an authorised representative / advocate?

Yes

First Name

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Contact Number

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Almost there! Let’s get some details about the type of your referral.

Which service is your referral for?

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NDIS – Recovery coaching

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Contact us today for a confidential discussion to find out if our service is the right fit for you.
Complete the form below or phone our friendly team on 1300SUREWAY (1300 787 392) and press 5 for Sureway Health and Wellbeing

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11. Enquiry Details

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Yes

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Client’s Details

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Are you an NDIS Participant?

Yes

Please enter your NDIS participant Number

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Yes

Please enter the NDIS participant Number of the person you are referring

Your Details

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Which service is your enquiry related to:

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Book an appointment

Use this form to request your next appointment with Sureway Health and Wellbeing.
Are you a new client? Complete a referral. Have a question before you get started? Phone our friendly team on 1300SUREWAY.

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11. Booking details

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33. Appointment Details

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I am booking an appointment for:*

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