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Home
Who We Are
What We Do
Education
National Survivors’ Day
News & Resources
Contact

Home
Who We Are
What We Do
Education
National Survivors’ Day
News & Resources
Contact

Referral Form

HomeReferral Form

As a National Redress Scheme service provider, IGFF offers face-to-face support.

To refer a client to IGFF please use the form on this page.

Referral Form

REFERRING ORGANISATION DETAILS

Date Referred

Name of Organisation

Contact First Name

Last Name

Phone/Mobile

Email

CLIENT DETAILS

Client First Name

Last Name

Gender Identity

Female

Male

Other

Prefer not to say

Date of Birth

Does the client identify as any of the following?

Aboriginal

Torres Strait Islander

Both Aboriginal & Torres Strait Islander

Australian South Sea Islander

CALD

Country of Birth

Language spoken at home

Does the client require an interpreter?

Yes

No

Address Line 1

Address Line 2

City

State

Post Code

Country

Does the client have a disability?

Yes

No

Will the client require support to access the service?

Yes

No

Please provide details

Additional Information

How would the client like to receive information from us?

Post

Phone

Text Message

Other

Please provide a postal address

Is it safe to leave a voicemail?

Yes

No

Other

Please provide details

Please select which service/s the client requires

Help completing a redress application

Counselling while completing a redress application

Preferred method of service delivery

Telephone

In person (at Bravehearts Office Locations)

Outreach (in person at a different location e.g. community centre)

ehealth (videoconferencing)

Redress Eligibility

Did your abuse occur in an institution?

Yes

No

Was the abuse sexual in nature?

Yes

No

Was the client under 18 years old when the sexual abuse occurred?

Yes

No

Did the abuse occur before the 1st of July 2018?

Yes

No

Is the client an Australian Citizen or Permanent Resident?

Yes

No

Has the client received a payment for the abuse already?

Yes

No

Other Information

Is there any other information (e.g. health conditions) that would be helpful for us to know?

Name of Institution

Year range of institution

INSTITUTION DETAILS

NOTE: You do not have to provide details of the abuse here, just the institution name

Details

Has this referral been discussed with the client?

Yes

No

Have they given consent?

Yes

No

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223/838 Collins Street
Docklands VIC 3008

Ph: + 61 1300 12 IGFF (4433)

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National Survivors’ Day

IGFF provides and engages with a range of community and support groups, focusing on empowering Survivors, families, whistle-blowers and communities impacted by institutional abuses. We can help co-ordinate referrals for mental health care, legal representation, police liaison, social welfare and support.

IGFF acknowledges the traditional owners of country throughout Australia and their continuing connection to land and community. We pay our respect to them, their cultures, and to their elders both past and present.

IGFF is committed to fostering a culture of inclusivity, respect, and empowerment. Our aim is to celebrate differences and to create equal opportunities for all, irrespective of ability, background or identity.

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