Please note this form is NOT for referrers. If you are wanting to make a referral for a client please call (03) 9663 6733.

Please fill out the following form to access counselling and family services.

If you are in crisis and in need of urgent support please call Lifeline on 13 11 14.

If you are interested in attending a group or seminar please sign up here.

HEALTH ALERT! – Your health is important to us.

Please be aware that due to the current global pandemic of COVID-19 (Coronavirus) that all clients visiting a drummond street services location or attending a group or seminar run by drummond street services will be required to answer some basic screening questions in order to minimise the chance of spreading the virus. If you are unwell please reschedule all appointments and seek medical attention and for more information about COVID-19 (Coronavirus) please check out the most updated information on the DHHS website https://www.dhhs.vic.gov.au/victorian-public-coronavirus-disease-covid-19 or call the hotline on 1800 675 398.

Please note: We do not provide the following services: Psychiatrists (can’t provide referrals), Legal Advice (we will refer you to Family Law Courts or Legal Aid), Mediation, Diagnostic assessments & Court Reports. Only provide your email if you consent to us emailing you. You WILL receive an auto receipt to this email address when you complete this form.

We are currently experiencing a high volume of registrations please allow 10 working days for us to contact you.











Residential Address is same as Postal Address







MobileHome or Work PhoneSMS & Voice mailEmail





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I declare that the information I have provided is mine and I give consent for the team at drummond street services to contact me