Detox, Rehabilitation & Outreach Queries
Ph: 08 9021 4732
Email:
11 Porter Street, Kalgoorlie
Referral Form
A referral form is available to download below. If you would like to refer someone for a program, please download and print the form. Completed forms can be posted, faxed or dropped in to our office. Click here for our Contact Details.
Download the Referral Form (PDF 320 KB)