If you would like to make an appointment, or would like more information about our services, please call (03) 8593 9692 or complete the form below. We will get back to you as soon as we can. Name * First Name Last Name Email * Message * If you would like to make an appointment please tell us your preferred day and time as well as the reason you are seeking help at this time. Phone If you are comfortable with us contacting you via phone please provide an appropriate number that we may call you on. (###) ### #### Thank you! We will respond to your enquiry as soon as possible. If you require immediate assistance please contact Lifeline 13 11 14 or Emergency Services 000.