Domestic & Family Violence Counselling

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Domestic & Family Violence Counselling

Dubbo Neighbourhood Centre offers free counselling to women affected by Domestic Violence.

Have you or do you know someone who has experienced family or Domestic Violence? We can Help.

Domestic Violence can include any of the following within a domestic relationship:

Physical assault
Sexual Assault
Emotional manipulation/abuse
Verbal abuse
Social abuse/isolation
Property theft/damage
Financial abuse
Blackmail

How can counselling help me?

Counselling provides a safe environment for you to share what has happened without judgement
Understanding and empathy for what you have been through
Assistance in finding the support you need - opportunities for referrals to other services and service information
Strategies for alleviating stress, anxiety, depression and other mental health issues
Exploring the past and embracing the future
Explore feelings and thoughts associated with trauma
Confidential and Safe
Discreet

How do I join the Program?

We take referrals from:

Local services and organisations
Friends and family
Self-referrals

Call Dubbo Neighbourhood Centre to talk to one of our counsellors confidentially on 6883 2300 and make a time to visit in person.

Online Referral Form

Organisations or individuals to use this form to refer themselves or another person with consent to the Connecting Community Services program as selected below.

* Mandatory fields

Connecting Community Service’s programs *

Client Details (Person being referred)

First Name *

Last Name *

Date of Birth *

Age (at time of referral)

Gender *

Address

City

State

Postcode

Phone

Email *

Is it safe to contact the client as below? *

(tick box/s for all relevant)

Phone

Allow to leave voice message Allow to send SMS

Email Postal Mail

Do you identify as being Aboriginal or Torres Strait Islander? Aboriginal Torres Strait Islander

Country of Birth

Main language spoken at home

Other language

Is an Interpreter required?

Residential Status

Visa Type

Year/Month of Arrival in Australia

Next of Kin

Full Name

Parent/Carer if client is a child.

Relationship

Phone

Details of Other Family Members Requiring Support

1) Full Name

DOB

Gender

2) Full Name

DOB

Gender

3) Full Name

DOB

Gender

4) Full Name

DOB

Gender

5) Full Name

DOB

Gender

Referrer Details (if applicable)

Full Name

Position or Relationship to client

Organisation (if applicable)

Address

Phone

Description of Presenting concerns / What prompted the referral? *

What other services are currently involved?

Fines

Worker to discuss with client Work and Development Order (WDO) (eligibility conditions apply)

(Court fines, Victims Restitution Orders, Penalty/infringement notices / on-the-spot fines)

Additional Information

Consent *

Please tick each box to submit the referral.

Client (including parent/carer if a child) understands and agrees to their information being shared with Dubbo Neighbourhood Centre Ltd - Connecting Community Services for the purpose of determining eligibility to the program.

Client (including parent/carer if a child) understands that they will be contacted by the allocated worker to arrange an assessment/intake.

The referrer agrees they has gained the client’s consent for the referral, and that all information submitted in this referral is an accurate reflection of the client’s support needs and client information.

How did you hear about us?

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