Thank you for your interest in referring a client to Gambler’s Help City and Inner North.
All information submitted is confidential.
Please note: by submitting this referral you acknowledge your client has consented to this information being shared with GHCIN.
Client's Full Name (required)
Client's Best Contact Number (required)
Referrer Name (required)
Referrer Organisation (required)
Referrer Contact Number (required)
Referrer Email (required)
What service does your client want to access? (required) Gambler's Help FinancialGambler's Help TherapeuticBoth Financial & Therapeutic
Can we leave a voicemail for your client? (required) YesNo
Can we send an sms to your client? (required) YesNo
Can we identify our service if another person answers our call? (required) YesNo
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