Service Provider Referral

Anyone can call or make a referral to RAW, if they are worried about someone or they are experiencing greater situational stressors.


You can also self-refer to become a program participant. To self-refer please fill out the Call Back Request form or contact our team directly on 1800 RAW TAS (1800 729 827 ). If we don’t answer, please leave a message as we may be with another participant.

RAW's intake team assess each referral to ensure it meets the necessary criteria and is allocated to the correct program.

Key criteria includes but not limited to:

  • 12 years (grade 7) and above
  • Living in a rural and remote area
  • A first-time user of mental health and well-being support services
  • Has limited support services available to them
  • Would benefit from practical short-term interventions
  • Non-crisis or non-clinical support needed.

If the referral does not meet the criteria and is not accepted, RAW staff will contact the referrer to provide information on more suitable pathways and support options.


Complete the Referral Form
REFERRAL FORM
Referrals are assessed weekly. Please contact us directly if you need information or support sooner. 1800 729 827
Note: At this point in time, we can only provide support within Tasmania only.
ABOUT THE REFERRER
Please note: this action is pending the decision of the individual you are seeking to help
If you aren't submitting this on behalf of an Agency or Organisation, please leave blank
ABOUT THE INDIVIDUAL
Please provide some information about the individual who you are referring to become a program participant
Please note: RAW is able to still reach out to people who haven't given you permission. This question just helps us identify the best way to approach and contact the person you are concerned for .
If you ticked the box indicating 'other', please provide more context
If you ticked the box indicating 'other', please provide more context
Please indicate a general location or suburb of the individual
Using the drop-down box, please indicate the work status best representative of the individual
If you selected preference to self-describe or would like to include preference of pronouns within the referral for RAW to be aware of in advance, please use the box provided below
Please include any information which may be useful as a background information to assist with the referral
Please tell us why you believe our program is right for the person you are concerned for, and how you hope that RAW might be able to help them
If any diagnosed mental illness, psycho-social clinical or social services support has been indicated in this referral please provide the best option to describe the status of those. RAW's intake team may be in contact for more information.
If yes, please provide relevant information

Program Support Acknowledgement:

Rural Alive & Well (RAW) is able to provide face to face support at no cost, with thanks to the generosity of the Tasmanian State Government, Federal Government by funding from Primary Health Tasmania (Tasmania PHN) through the Australian Government’s Primary Health Networks Program, community, philanthropic and corporate partners.