Counselling Referral

Please note that Counselling Services at Ryan Catholic College is only available during term time.

If the matter requires immediate support please contact:

Kids Helpline (24 hours, free call) 1800 55 1800
Lifeline (24/7) 13 11 14
eheadspace (9am - 1am) 1800 650 890
Headspace Townsville (8.30am - 4.30pm) 4799 1799
Alternatively, online counselling and support is available via www.eheadspace.org.au or www.lifeline.org.au

Student's Name

Year Level Written parental permission is required for Primary Students to see a counsellor. Please make contact with the student’s classroom teacher to discuss referral.

Name of Referrer

Email / Phone Number of Referrer

Date of Referral

Position

Other Position - please specify

Issue of Concern

Other Issue of Concern - please specify

Brief Outline of the Concern - including any safety issue

Have you spoken to the Pastoral Leader about this student? *

Yes

No

Priority of Referral

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