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.


Parentline 

State 

Telephone 

Hours 

ACT 

9am – 4pm Mon-Fri 

QLD 

8am – 10pm, 7 days 

NT 

8am – 10pm, 7 days 

NSW 

9am – 9pm Mon-Fri, 4pm – 9pm Sat-Sun 

SA 

7:15 am – 9:15 pm,

7 days 

TAS 

24 hours, 7 days 

VIC 

8 am-midnight,

7 days 

WA 

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.




(dd/mm/yyyy)










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(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: