We are not an emergency service. If life is at risk call 000. If you need urgent help, see immediate support options.

Refer a carer

Use this form if you want Arafmi to contact an unpaid mental health carer.

Before submitting, make sure the carer gives permission. Our team will contact the carer or you within 2 working days.

Carer Referral

About the carer

First Name

Last name

Phone number

Email address

Region

Who does the carer support?

Confirm this person is an unpaid carer (not a paid worker)*

Yes

No

Supports the carer is interested in:

Contact preferences

Does the carer agree to be contacted?*

Safe to contact by phone, text, or email?*

Preferred contact method / time

Additional support

Interpreter or extra support needed?

Anything else we should know?

Your details (referrer)

First Name

Last name

Phone number

Email address

Organisation

How did you hear about arafmi?

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