For your convenience, you may complete the online referral form below, or instead, download and print the referral form template.
Private clients who are self-referring are also welcome to use the referral forms.
Once complete please click the Submit button below. It will take a very short time to upload your referral form, so please wait until you see the success message before closing the page.
* Health at Every Size® and HAES® are registered trademarks of the Association for Size Diversity and Health and used with permission.
We acknowledge the Traditional Owners of country throughout Australia and recognise their continuing connection to land, waters and culture. We pay respects to their Elders past, present and emerging.
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