Thanks for getting in touch with headspace Bankstown - a service for young people aged 12-25 years.

We're glad you've reached out!

We have a few questions we'd like to ask you that will help us understand how we can best support you.

**ATTENTION**: If you are a service provider, please return back to our website and complete the "Service Provider Referral Form". We will NOT process any typeforms completed by service providers on this form.

Question 1

Privacy Statement & Safety

headspace Bankstown is a voluntary service. This means that young people must provide consent to access our services.

headspace Bankstown has a policy to protect your privacy in compliance with privacy legislation.
For this reason, all of the personal information that you choose to tell us will be kept confidential.

If at any time we are concerned for your safety based on the information we receive, we will need to share some of your details with other parties. We will always attempt to contact you prior to this.

If you are needing immediate support, please contact one of the following:
> 000
> Lifeline - 13 11 14
> Kids Helpline - 1800 55 1800
> Mental Health Line - 1800 011 511
> Suicide Call Back Service - 1300 659 467This question is required.

Please note: headspace Bankstown is not a crisis or emergency service.

I accept
I don’t accept

Thanks for getting in touch with headspace Bankstown - a service for young people aged 12-25 years.We're glad you've reached out!We have a few questions we'd like to ask you that will help us understand how we can best support you.

Thanks for getting in touch with headspace Bankstown - a service for young people aged 12-25 years.

We're glad you've reached out!

We have a few questions we'd like to ask you that will help us understand how we can best support you.