Referral form

This referral form is for community services or professionals to refer clients to Zahra Foundation Australia's services and programs. You can also use this form to make a self-referral if you would like to access our programs or services yourself.

We ask a number of questions to help us understand how best to support you and ensure your referral reaches the correct team.

Due to high demand, there is currently an 8-week wait for face to face Financial Counselling in South Australia and a 3 week wait time in NSW.

We reserve single-session appointments for those in urgent need of financial counselling. Please complete all fields to help us assess if you require an urgent appointment.