Genie Safety PROFESSIONAL REFERRAL

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Genie Safety PROFESSIONAL REFERRAL

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Genie Safety PROFESSIONAL REFERRAL

Professional Referral – Genie Safety Hub

Full Name

Organisation

Role/Title

Phone Number

Referral Date

Full Name of Client

Preferred Name (if known)

Age

Is the client aware of the referral?

Yes No

Client Contact Number (if safe to use):

Preferred Time & Method of Contact:

Does the client identify as Aboriginal or Torres Strait Islander?

Yes No

Preferred language / Interpreter needed?

Yes No

If yes, specify language

Please outline the presenting concerns, including risk factors, history, protective factors, existing support services, or known triggers.

Services Requested

Safe Accommodation – Emergency or Short-Term Safety Planning Trauma Counselling Enhanced Maternal & Child Health Support Men’s Behaviour Change Support or Positive Behaviour Coaching Supervised Contact

Other Services (please specify)

Urgency Level

High – Immediate safety concern (Same-day response required) Medium – Action required within 24–48 hours Low – Non-urgent

Has the client consented to share this information?

Yes No

Are you attaching supporting documents?

Yes No Not Applicable

Include any special instructions, cultural or disability-related considerations, or agencies involved in care.

Genie Safety Hub is a confidential space supporting parents through domestic and family violence. We provide expert parenting guidance, emotional support, and safety resources to help you feel seen, heard, and protected, every step of the way.

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Services

Mens Behaviour
Safety Enhanced Maternal
Trauma Recovery Support
Domestic Violence Recovery
Safety Supervised Contact
Emergency and Short Term

Contact

Address : Townsville, Queensland, Australia
Phone : +61 424 808 819
Email : Admin@sensorywellnesshub.com.au