Supporting Recovery Mental Health Referral Form

Supporting Recovery provides access to ongoing trauma informed mental health support, including psychological therapies, for people who have experienced family, domestic and sexual violence. It is offered at no charge for a period up to two years and in person services are available in the Fairfield, Liverpool and Campbelltown LGAs. Click here to download the Service Brochure.

Please note, Supporting Recovery is not a crisis support service. If someone is in urgent need of help, contact 000. If they require a crisis response contact NSW Mental Health Access Line on 1800 011 511; 1800RESPECT on 1800 737 732 or NSW DV Line on 1800 656 463.

Supporting Recovery accepts referrals from agencies in South Western Sydney area (predominantly in Fairfield, Liverpool, Campbelltown) and self-referrals from people that live and/or work in South Western Sydney area. 

If you need to speak with someone from the Supporting Recovery team about this referral, please get in touch using the contact details below:

Phone: 1300 316 554

Client Details

Referrer Details

Referral Details

Client Risk Details

Please email any completed risk assessments as a pdf document (DVSAT, IAR, Suicide Risk Screen, other) to
Please ensure the email subject line includes the following: [Risk Assessment Type]; [Client Surname]; [Referral Date]
Example DVSAT; SMITH; 8.4.24

Client Preferences

Client Consent

  • Has consented to this referral.
  • Has been informed of the role and services provided by the Supporting Recovery Program.
  • Has been informed that their information has been provided to the Supporting Recovery team in order to determine their eligibility for services and for the purposes of coordinating their care.
  • Has been informed that their information may be shared between the Supporting Recovery care team members across Anglicare Sydney and CatholicCare Sydney and with other relevant professionals and agencies for the purposes of coordinating their care.
  • Has been informed that their deidentified information may be shared with SWS Primary Health Network and NSW Department of Health for statistical and program related purposes.
  • Has been informed that their personal information will be collected and stored in accordance with Privacy Legislation.
Referrals will be responded to within 5 business days of receipt.

If you are currently experiencing domestic violence and need crisis support, call 1800RESPECT (1800737732 ). If you are in immediate danger, call the police on 000.