Making a referral

We need a completed referral form so that we have enough information to determine whether the case/request is appropriate, to discuss it at our Intake meeting, and to determine the priority of the referral. Incomplete or absent referral forms will slow down the process.


Who do we see?

We specialise in working with children and adults with Acquired Brain Injury (e.g due to head injury, stroke, hypoxia, infection, tumour, substance related brain injury, degenerative neurological conditions), their families and support teams. If you want to refer someone with intellectual disability, autism or other longstanding conditions since birth, please call or email us to discuss whether we are the most appropriate service for your needs before sending in a referral form.


What sort of service do you need?

Sometimes people are unsure precisely what they need. Diverge offers neuropsychology assessments, behaviour assessments, behaviour support interventions, secondary and tertiary consultation, counselling and more. Please read our SERVICES section to help you decide what you need and the specific issues you want addressed.


Referral Form

Complete the referral form online or you can download the referral form and send back to us via email or post:

Online Referral Form 

Referral Form – docx format

Referral Form – pdf format


Information for clients – Your rights and responsibilities:

General Service Agreement

NDIS Service Agreement

NDIS Policy 2020



COVID19 Update 22/7/2020
We are still taking new referrals. We are operating via telehealth and when required, face-to-face. When face-to-face services are provided, we wear face masks and request that others wear face masks to reduce the risk of COVID19 transmission