Urgent help

I’d like to refer myself

Donate

Get support

Client referral

Referral

Phone: (02) 6122 7000
Email: intake@toora.org.au
Online: Referral form

(Mon–Fri, 9am–5pm)

Eligibility

For women, female-identifying and non-binary people (16+) in the ACT.

Alcohol & other drugs support (18+).

Cost

No cost to access.

Rent in our accommodation services is income-based. Financial assistance may be available. Learn more: Toora’s Housing Factsheet.

This field is for validation purposes and should be left unchanged.

About the referrer

Name(Required)

First Last

Phone(Required)

Email(Required)

Referring organisation(Required)

Your pronouns(Required)

Other pronouns

Contact limitations

Eg. only work 9am-2pm or don’t work on Wed.

About your client

Client Name(Required)

First Last

Client email address

Client phone(Required)

Client date of birth(Required)

Aboriginal / Torres Strait Islander identity

Client pronouns(Required)

Client other pronouns

Country of birth

Primary language spoken by client if not English

Interpreter required?

Yes

Does your client have any children we need to also provide support services to?

Yes

Unsure

Number, age and gender of children if known

Can we contact the client directly

Preferred method of contact

Best time and/or day to contact then

How can we support your client?

Toora service and support areas:

Housing & homelessness support

Domestic & family violence

Alcohol & other drug support

Mental health & wellbeing

You can select more than one

Can you provide more information(Required)

Only share what you/your client are comfortable sharing.