Professional Referral Form - The Kids Hub

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Walk-ins: Tue 9:30 am - 12:30pm, Wed: 2:00pm - 5:00pm |
Appointments outside hours by booking

kidshub@parkerville.org.au

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Make a professional referral

All bookings start with a Care Navigator, who will listen to the child and family's needs and connect them with the right supports. We don’t offer direct bookings into individual services like psychology or OT.

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Referrer name: *

Referrer company/organisation: *

Referrer phone number: *

Preferred time to contact you:

Parent/carer name: *

Parent/carer Suburb: *

Child's name: *

Child's date of birth: *

Parent/carer contact details: *

Email
Mobile/phone call
SMS

Please provide us with the email address: *

Please provide us with the phone number: *

Please provide us with the mobile number for SMS: *

Preferred time to contact parent/carer:

Is it safe for us to contact the parent/carer and leave a message on these details? *

Yes
No

Are there any safety concerns we need to be aware of? *

Yes
No

Please specify your safety concerns:

My client needs a translator

Yes
No

phone client? there

Please specify your client's language requirements:

Do you have a signed Release of Information from your client? *

Yes
No

Please provide a copy with this referral: *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

The Kids Hub welcomes walk-ins on Tuesdays from 9:30am to 12:30pm and Wednesdays from 2:00pm to 5:00pm. All other times are available by appointment only (The Stan and Jean Perron Child, Youth & Family Centre, 1 Watertank Way, Midland).

The Midland Medicare Mental Health Kids Hub is jointly funded by the Australian Government and the Western Australian Government

Services delivered in partnership by

How we can help
What to expect
FAQ
Our location

How we can help
What to expect
FAQ
Our location

Ngala kaaditj Whadjuk Noongar moort keyen kaadak nidja boodja

We acknowledge the traditional custodians of the land on which we live, work and play – the Wadjuk people of the Noongar nation, especially their Elders past and present.

We recognise and respect their cultural heritage, beliefs and relationship with the land, which continues to be important to all Whadjuk Noongar people living today.

Your privacy is important to us. To learn more about how we protect and manage your personal information, please review our privacy policy

The Kids Hub is jointly funded by
the Australian Government and
the Western Australian Government.

The Kids Hub © 2025. All Rights Reserved. | Developed by DropIN Solutions

Please be advised that we are not a crisis mental health service. If this is an emergency or someone else needs immediate attention:

If you have concerns about your child’s behaviour, development, mental health, and well-being, we have professionals who can support you with this.

7 days a week:
Mo-Fr: 8am - 7pm | Sa - Su: 9am - 3pm

Call 0405 349 227

If you need to speak to someone outside our open hours:

CAMHS Crisis Connect - 1800 048 636

Crisis Care - 1800 199 008

Mental Health Emergency Response line - 1300 555 788

Nagla Parenting line - 9368 9368

Lifeline - 13 11 14

13YARN - 13 92 76

Kids Helpline - 1800 551 800

Book an appointment

Make a professional referral

Home
How we can help
What to expect
FAQ
Our Location
Booking

Home
How we can help
What to expect
FAQ
Our Location
Booking

Search

I need urgent help

kidshub@parkerville.org.au

Mon - Thu: 8am - 7pm | Fri: 8am - 4:30pm

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