PANDA - National Perinatal Mental Health Helpline Referral Form
Completion of this form requires this referral to be discussed with the client and informed consent confirmed. This includes contact details so PANDA can contact the client. Please provide as much information as possible to support triage to PANDAs services.
PANDA works with families throughout pregnancy and until the child is 12 months old. For parents of older children, please contact Parentline in your state (see table below for phone numbers and open hours), or the Pregnancy Birth Baby Helpline on 1800 882 436.
If you require a copy of the referral for your records please ensure you print or save a copy as a PDF.