We collect only information from you that we believe is needed:
(a) to provide you with the services you have requested;
(b) to maintain contact with you for service-related purposes; and
(c) to prevent harm (e.g., emergency contact).
If you have any difficulty completing this form, please contact Health, Wellbeing and Inclusion reception on (03) 9479 2956.
Please note: This portal is for non-urgent requests only.
If you are experiencing suicidal thoughts or if you are in an emergency situation, please contact the La Trobe University Crisis Line by calling 1300 146 307 or by texting 0488 884 100. Alternatively, you can contact Lifeline 24 hours a day, 7 days a week on 13 11 14.
Remember: If there is risk of imminent harm to you or someone else, call Emergency Services on 000.