Referral Form
Online Referral Process
- Obtain consent – Ensure your client consents to being referred to Yorgum for counselling services.
- Complete the Referral Form – Ensure all sections are completed in order for Yorgum to accept the referral
- Submit the completed Referral Form to Yorgum.
- Yorgum will confirm receipt and acceptance of referral within five business days.
- A staff member from Yorgum may contact you for additional information if required.
- Yorgum’s intake team will contact the individual directly to schedule an initial intake and assessment appointment.
- If the client consents the referring agency may receive an update regarding the outcome of the referral.
Yorgum is not a crisis service.
If the individual needs immediate support, we encourage you to connect with a dedicated crisis support service for the assistance.