Please complete the below form and a member of our team will be in contact within 1 business day. If you would prefer to speak to a member of our team please call 07 5647 3438.

Referrer Information

If you have a self-managed plan please type "self" in the box above

Participant Information

If same as referrer please type "same as referrer"
The Australian DBT Institute is a specialist private mental health service specialising in skills development for individuals with emotion regulation difficulties
Click or drag files to this area to upload. You can upload up to 4 files.
Please provide an overview of the support requested including: anticipated duration of support, special requests, oreintate GC DBT to any particular preferences or needs.