Marra Bridge

We help people through disability, health, and community systems.

Make a Referral

Refer Someone for Support

A clinician introducing a referral checklist on a tablet to a woman and a man in a living room

This form is not monitored as an emergency service. If someone is in immediate danger, call 000.

Before you start

Having the participant's basic details and consent where applicable will help us respond more quickly. You do not need to have all the answers - just share what you know.

Fields marked * are required. Everything else is optional but helps us understand the situation faster.

We aim to respond to referrals within 2 business days.

If you would prefer to discuss your referral, call 0493 114 104 or email info@marrabridge.com.au.

What happens next

  1. 1

    Submit a referral or get in touch

    Complete the form below, or call or email us directly.

  2. 2

    We review the information

    A member of our team reviews what has been shared to understand the situation.

  3. 3

    We get in touch

    We aim to contact the referrer or participant within 2 business days.

  4. 4

    We discuss next steps

    We talk through the support available and agree on next steps together.

01/ Referrer Details
02/ Person Being Referred
03/ Contact and Communication Preferences
04/ Reason for Referral
05/ Supports Requested
06/ Urgency
07/ Consent

If consent is not yet available - for example because the person is currently in hospital, or a guardian, nominee or authorised representative needs to provide it - you can still submit this referral. Select "Not applicable" if a guardian, nominee or other lawful representative is providing consent on the person's behalf, or if consent genuinely cannot be sought yet. Marra Bridge will not contact the participant directly without an appropriate lawful basis to do so.

08/ Any Additional Information
09/ Support Documents

Accepted file types: PDF, Word (.doc/.docx), JPG or PNG. Maximum 5 files, up to 10 MB each. Please do not upload password-protected files. Only include documents relevant to this referral, and avoid attaching more personal information than necessary. Uploaded documents are stored securely and are not publicly accessible. See our Privacy Policy for details.

By submitting this form, you acknowledge that Marra Bridge will collect and handle the information you provide in accordance with our Privacy Policy (PDF, 7 KB).