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Coaching Counselling

Referral Information

 

 


Chaos to Calm provides a clinical bridge for patients requiring psychosocial support and capacity building. We prioritize collaborative care and provide regular progress summaries to referring practitioners.

General Practitioners
Support Coordinators
Psychologists 
Allied Health
Schools & Youth Services
Community Organisations

 We accept referrals for:

  • Regional and remote clients

  • Adolescents experiencing anxiety, emotional dysregulation,

  • Social withdrawal or school stress​

  • Adults experiencing anxiety, burnout, stress or life overwhelm​

  • Individuals requiring structured emotional regulation support​

  • NDIS participants (psychosocial & capacity building)​

 

​NDIS & Clinical Data:

​NDIS Status: Independent, Non-Registered

(Plan & Self-Managed).

​Support Item: Individual Counselling (15_043_0128_1_3).

​Delivery: 100% Secure Telehealth Nationwide.

​How to Refer: Please email referrals to carmen@mychaostocalm.coach or use our secure portal below.

 

​​​​​HOW THE REFERRAL WORKS

  1. Complete the referral form

  2. We contact the client or family within 48 hours

  3. Intake completed and supports commenced

  4. Ongoing collaboration with referrer (where appropriate.

Outcomes-focused - Confidential - NDIS-aligned - Collaborative approach

Circle of Hands

For GPs, Support Coordinators, Schools, Allied Health & Community Providers

Use this form to refer a client for counselling, psychosocial and wellbeing support.

Please ensure client consent has been obtained prior to submitting.

REFERRER DETAILS

Role

CLIENT DETAILS

Date of Birth
Day
Month
Year
Has the client provided consent for this referral?

REASON FOR REFERRAL

Multi choice
Are there any current safety concerns?

SERVICE PREFERENCE

Preferred service (if known)

DECLARATION

Date
Day
Month
Year
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