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 takes caller privacy seriously, please click here to view our Privacy Policy. For privacy reasons, we may contact you via phone to advise on the status of the referral. We are not able to send identifying information about your client via email. 


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.






9am – 4pm Mon-Fri 


8am – 10pm, 7 days 


8am – 10pm, 7 days 


9am – 9pm Mon-Fri, 4pm – 9pm Sat-Sun 


7:15 am – 9:15 pm,

7 days 


24 hours, 7 days 


8 am-midnight,

7 days 


8 am – 8 pm, 7 days 

If you require a copy of the referral for your records please ensure you print or save a copy as a PDF. 

Where possible, please provide

The following information supports us in directing your referral to the right PANDA Helpline service.



(e.g acute mental health triage, helplines, counselling, family services, medical)

PANDA aims to provide targeted support to at-risk callers. Where known, please include the following information relating to the client's current experience of: