
Family Service Referrals
To make a referral to our Child Youth and Family Support service, please download and save this fillable PDF form, then email to referrals@familyservices.org.au

Staying Home Leaving Violence Referrals
(Operates in the Wollongong Local Government Area Only)
To make a referral to our Staying Home Leaving Violence service, please download and save this fillable PDF form, then email to referrals@familyservices.org.au
Child Youth & Family Support Program
Frequently Asked Questions (Referral & Intake)
- have children 0-17 years of age; and
- are experiencing low to medium risk issues, that can be addressed by
providing appropriately targeted, short term supports early to prevent escalation of these issues.
- are referred by the Family Referral Service
- are Aboriginal or Torres Strait Islander
- have been on the eligibility list the longest
If you are a Worker and want to refer a family to the Service:
With the consent of your client, download the electronic fillable form from our website. Once you have completed the form and saved it, email the completed form to referrals@fsi.org.au. You will then receive a reply to inform you that we have received your referral.
The referral will go to the regular meeting of the Intake Panel where it will be considered and a decision made as to whether or not it is appropriate for FSI to accept the This Panel may also determine whether the family should be offered short term information and supported referral or longer term case managed family support.
If a referral is declined the referrer will be advised of the reasons for that decision.
Where it is unclear whether the family’s needs will best be met through short term or longer term support the Operations Manager will arrange an initial assessment in the family home. This assessment will help to determine what level of support the family will be offered.
Referrals to FSI may be declined for a variety of reasons including the following:
- family does not meet eligibility requirements of the funding body;
- the resources of FSI do not allow for this family to be prioritised at this time;
- another Service is considered more appropriate to meet the family’s needs;
- the needs of the family are considered to be too great for FSI to meet given available resources;
- there is an unacceptably high level of OH&S risk associated with the family;
- the referral is considered Inappropriate for other reasons;
- the referred client does not want to receive services from FSI; or
- FSI is unable to make contact with the client.
Reviewed: February 2019
Staying Home Leaving Violence Project
Frequently Asked Questions (Referral & Intake)
If you are a Worker and want to refer a woman to the Service:
With the consent of your client, download the electronic fillable form from our website. Once you have completed the form and saved it, email the completed form to referrals@fsi.org.au. You will then receive a reply to inform you that we have received your referral.
The referral will go to the regular meeting of the Intake Panel where it will be considered and a decision made as to whether or not it is appropriate for FSI to accept the This Panel may also determine whether the family should be offered short term information and supported referral or longer term case managed family support.
If a referral is declined the referrer will be advised of the reasons for that decision.
Where it is unclear whether the family’s needs will best be met through short term or longer term support the Operations Manager will arrange an initial assessment in the family home. This assessment will help to determine what level of support the family will be offered.
Referrals to SHLV may be declined for a variety of reasons including the following:
- Another Service is considered more appropriate to meet the woman’s needs.
- The resources of SHLV do not allow for this woman to be prioritised at this time.
- There is an unacceptably high level of OH&S risk associated with the woman’s circumstances.
- The referral is considered Inappropriate for other reasons.
- The referred client does not want to receive services from FSI.
Reviewed: February 2019
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