Counselling Registration Form

We value your privacy and we have a strong commitment to confidentiality. The information you provide on this form will be kept within Counselling Support. It will assist us to provide a personalised response to address your needs.

Read our full confidentiality and privacy statement.

  • Please fill out the form below.
  • Once you have completed this form a staff member from Student Life Counselling Support team will contact you to discuss your issue via phone or University email, within business hours and usually within 2 business days.
  • If you need assistance to complete the counselling registration form, please contact us by phone on 08 8313 5663 or by email from Monday to Friday, between 9.00am and 5.00pm.
  • If you require urgent support after 4pm you can contact the University Crisis Line on 1300 167 654 or 0488 884 197.

Please note: If you are currently studying online either interstate or overseas, and you are in need of urgent support, please make contact with emergency services within your local area. If you are unsure who to contact please phone your nearest hospital. 

About You

Contact Details

Emergency Contacts

Request

There are some situations that cannot be supported by Counselling Support – please familiarise yourself with the MACA policy

Please note: If you are currently studying online either interstate or overseas, and you are in need of urgent support, please make contact with emergency services within your local area. If you are unsure who to contact  please phone your nearest hospital.