If you are completing this on behalf of a young person you are working with or is a client of yours, please include your details at the end of this form.
If you are currently experiencing a personal crisis or need urgent medical attention, please call LifeLine on 13 11 14 or Emergency Services on 000 (Triple Zero). DISCLAIMER: We will only share information provided in this form within internal team members at Youth Projects to ensure that you are connected to the most relevant support available based on the responses you have provided. Your information will not be shared with any other service providers or third parties without full consent from the individual. A team member will respond to your inquiry via your preferred method of contact.