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Referral Process and Form

Have you read our Consumers Handbook?

Richmond Fellowship of WA's Consumers Handbook aims to assist prospective Consumers in their application for services with the Organisation.  The handbook is a guide only but should be read carefully prior to making an application for services. 

To read this handbook, please visit the Consumers Handbook page.

If you require a copy sent to you by Australia Post, please contact our Head Office on 9350 8800 and we will forward a copy to you as soon as possible.

Referral Form

Download the Referral Form for all our services (excluding Personal Helpers and Mentors Program (PHaMs). Visut the PHaMs page for PHaMS Referral Form.

Social services, government and non-government agencies can refer people to RFWA. A referral form can be completed by a family member, GP, social worker, psychiatrist, case worker or other mental health service professional. Self referral can also be made. We encourage you to arrange a visit to the program of your choice before lodging an application. The application form can be obtained from the RFWA Head Office, or through the Social Work Department of most mental health clinics.

Self referral can be made to the PHaMs, Carer Respite and SIL programs without the need for a diagnosis. Please phone RFWA and ask to discuss these programs with a team leader.

Acceptance into a program is based on an assessment of your support needs and wishes, and your compatibility with current participants.

Referrals should be directed to:
Richmond Fellowship WA
PO Box 682
BENTLEY WA 6982
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The referral process

Social services, government and non-government agencies can refer people to RFWA. A referral form can be completed by a family member.

RFWA has policies and procedures which protect your personal information. We ask for your permission before we collect, use or share your information with anyone for any purpose, other than providing care.

In the referral process your information is sent to RFWA to help determine your eligibility for our services. This information will include your social, medical and psychological information. The process then consists of the following steps:

  • Your referral form is received at Head Office;
  • Within 3 working days, our staff will contact your referring case manager to acknowledge receipt of the referral and will let them know if, on initial assessment, your application matches RFWA criteria;
  • Our staff at the referred service will make an assessment on suitability through an interview with you and also through further discussions with other stakeholders. Where preference is indicated for a particular program, RFWA will try to meet the request;
  • Following the assessment and within 7 working days from the date the referral was received, RFWA staff will contact your case manager to discuss the outcome of the referral (i.e. accept, waitlist or declined).
  • Applications for the CSRU services in Bunbury & Busselton should be forwarded to the Program Manager of the CSRU program by fax 9721 3160 (Bunbury) or 9754 2751 (Busselton). The Program Manager will respond when the application is received and keep you fully informed as to its progress. Applications for the CSRU program are required to be assessed by a local Reference Group which meets on a regular basis.

If you are accepted into the service, then our staff will liaise with the case manager regarding:

  • a move in date, for residential services or;
  • a start date for non-residential services.