{"id":501,"date":"2022-07-09T12:01:36","date_gmt":"2022-07-09T12:01:36","guid":{"rendered":"http:\/\/mypsychology.org.au\/?page_id=501"},"modified":"2026-08-25T10:45:33","modified_gmt":"2026-08-25T10:45:33","slug":"referral-form","status":"publish","type":"page","link":"https:\/\/mypsychology.org.au\/?page_id=501","title":{"rendered":"Referral Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"501\" class=\"elementor elementor-501\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-240df6c e-flex e-con-boxed e-con e-parent\" data-id=\"240df6c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0e00fbb e-con-full e-flex e-con e-child\" data-id=\"0e00fbb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cfe11bc elementor-widget elementor-widget-heading\" data-id=\"cfe11bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">My Psychology Referral Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6e5400 elementor-widget elementor-widget-text-editor\" data-id=\"c6e5400\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>My Psychology Tasmania welcomes referrals from people within the community wanting to refer themselves to our service or from other professionals wanting to refer people to our service.<\/p><p><strong><u>Important to Note<\/u><\/strong><strong>:<\/strong> We do not accept referrals for high-risk clients or actively psychotic clients. We also do not provide crisis or emergency support. Please contact our practice to confirm suitability for meeting your needs. My Psychology Tasmania reserves the right to refuse any referral.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a30393 elementor-align-center elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-button\" data-id=\"9a30393\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/mypsychology.org.au\/wp-content\/uploads\/2025\/10\/My-Psychology-Tasmania-Referral-Form-v3.1-Feb-2022.docx\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-file\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M369.9 97.9L286 14C277 5 264.8-.1 252.1-.1H48C21.5 0 0 21.5 0 48v416c0 26.5 21.5 48 48 48h288c26.5 0 48-21.5 48-48V131.9c0-12.7-5.1-25-14.1-34zM332.1 128H256V51.9l76.1 76.1zM48 464V48h160v104c0 13.3 10.7 24 24 24h104v288H48z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Download PDF Version<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef91670 e-flex e-con-boxed e-con e-parent\" data-id=\"ef91670\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-feb385e elementor-widget elementor-widget-html\" data-id=\"feb385e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<iframe id=\"splose-form-455b100c-8cf9-4c30-9c13-218d735668ab\" src='https:\/\/family-based-care-tasmania.splose.com\/public-form\/455b100c-8cf9-4c30-9c13-218d735668ab' name=\"embeddableForm\" style=\"position: absolute; top:0; left: 0; width: 100%; height: 100%;\" scrolling=\"auto\" width=\"100%\" height=\"100%\" loading=\"lazy\" frameBorder=\"0\"><\/iframe>\n<script>\nwindow.addEventListener('message',function(e){if(e.origin!=='https:\/\/family-based-care-tasmania.splose.com')return;if(!e.data||!e.data.type)return;var f=document.getElementById('splose-form-455b100c-8cf9-4c30-9c13-218d735668ab');if(!f||e.source!==f.contentWindow)return;if(e.data.type==='sploseFormSubmit'){var p=e.data.payload||{};window.dataLayer=window.dataLayer||[];window.dataLayer.push({event:'splose_form_submit',formName:String(p.formName),formId:String(p.formId)});}});\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>My Psychology Referral Form My Psychology Tasmania welcomes referrals from people within the community wanting to refer themselves to our service or from other professionals wanting to refer people to our service. Important to Note: We do not accept referrals for high-risk clients or actively psychotic clients. We also do not provide crisis or emergency [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"iawp_total_views":1038,"footnotes":""},"class_list":["post-501","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/pages\/501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=501"}],"version-history":[{"count":26,"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/pages\/501\/revisions"}],"predecessor-version":[{"id":3082,"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=\/wp\/v2\/pages\/501\/revisions\/3082"}],"wp:attachment":[{"href":"https:\/\/mypsychology.org.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}