intake now open

We are now accepting referrals in order for young people to join our programs. Once you complete the online form our Intake Worker will meet with you to complete the paperwork. From this point you will begin receiving programs via email, and able to book into them.

PARTICIPANT DETAILS:

Date Of Birth:
 

 
 




Disability/Diagnosis:

Aboriginal/Torres Strait Islander:

School/Placement:

DETAILS OF PERSON MAKING REFERRAL:
 
Referral Made By: Relationship:
Referral Email: Referral Phone:
 

 


 


Need Occupational Therapy or Support Coordination?
Visit the Geronimo website and complete a referral form.