Referral - Flowstate Margaret River Inc

During Flowstate’s surf therapy programs, we will learn how to use the ocean as a resource to support your mental and emotional well-being, improve your surfing and ocean skills, have open conversations about mental health, practice coping skills and share and learn from each other.

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Confidentiality and Consent

We are committed to protecting your privacy, all information and documentation will be kept secure. We will only ever share information about you if you are at risk or if we are legally requested to do so.

In order to provide a safe, positive and therapeutic experience for everyone we ask that you do not attend sessions if you are under the influence of drugs and or alcohol.

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Flowstate Surf Therapy Program Referral

Participant's Details

Participant's Contact Details

Parent Guardian Contact Details

Next Of Kin/Emergency Contact Details

About The Participant

Confidentiality and Consent