Make a referral

If you have a client you would like to refer to SPP Talk Suicide Support Service you can do so by either following the link below to download the form, complete and return to [email protected], or alternately you can complete the submit the form online by completing the details below.

Please note – Prior to referring, please ensure that you are aware of the services that SPP Talk Suicide Support Service provides and its relevance to your client. In addition, please ensure you have obtained your clients consent to refer them to our service.

Download TSSS Referral Form (PDF)

Talk Suicide Support Service Referral Form

  • Consent: the person being referred must consent to this referral.

    By ticking this box, I confirm I have discussed this TALK SUICIDE Support Service referral with the person being referred, and they consent to this referral. They understand that this may include contacting me (the referrer) for further information.

  • DD slash MM slash YYYY
  • Details of Individual being referred:

  • DD slash MM slash YYYY
  • Referrer's details: