Online Initial Needs & Referral Form

The Initial Needs and Referral Tool is to assist in uncovering underlying and presenting issues and is not a diagnostic process, rather it is a tool to determine the young person’s risk, eligibility and priority for service. Professionals can use this tool to refer young people to other appropriate No Wrong Door Services. No data entered into this form will be saved on No Wrong Door servers. It is important that all young people’s information is managed and stored in accordance with relevant privacy legislation, and the policies of the individual services or schools using this website. For more information please ask to see your local service or school's privacy policy or visit

Young Person

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