Cornerstone Youth Counselling Self Referral

 

If you’re aged 12-25 and would like support, just complete the details below and we will be in touch within 3 business days.

If we aren’t able to contact you within two weeks, your referral will be closed, but you’re always welcome to reach out again whenever you’re ready.

Please remember we are not a crisis service. If you’re worried about your mental health (or someone else’s), please call the Access Mental Health Phoneline on 1800 332 388.

Let's get started

Can we use this when speaking with other people, for example parents/caregivers?
Date of Birth 
Home address
Do you identify as Aboriginal or Torres Strait Islander?

Additional Information

How do I access the counselling Program?

To meet with one of our Mental Health Clinicians, you’ll need to get a Mental Health Care Plan (MHCP) within your first few sessions. If getting a plan feels tricky or confusing, just give us a call — we’re here to help you through it.

What is a Mental Health Care Plan?

A Mental Health Care Plan (MHCP) is something your GP (doctor) makes with you if you’re going through a tough time with your mental health or wellbeing.

How do I get a Mental Health Care Plan?

  1. Book an appointment with your GP (doctor). When you book, ask for a longer appointment so there’s plenty of time to talk things through.
  2. Share how you’ve been feeling. Your doctor might ask you some questions or give you a short form to fill in. This helps them figure out the best way to support you.
  3. Tell your doctor you want to link in with Cornerstone Youth Services. They can then include this in your Mental Health Care Plan so you can get started with us.

Please return this referral form to our office or send via email (you can screenshot and send to our email).  
If you don’t have time to fill it out give us a call instead.

LAUNCESTON  First Floor 24 Wellington Street, Launceston 7250, Ph 6335 3100, Fax 6335 3127

BURNIE             Level 1/10 Mount Street Burnie, 7320, Ph 6408 0251, Fax 6408 0252

DEVONPORT   Level 1/35 Oldaker Street, Devonport 7310, Ph 6424 2144, Fax 6424 6102

Email:  youthinmind@csys.com.au    

Website: www.cornerstoneyouthservices.com.au    

Cornerstone Youth Services acknowledges and pays respect to the Tasmanian Aboriginal Community as the traditional and original owners, and continuing custodians of this land on which we gather today and acknowledge Elders – past and present.