Referrals

Please fill in the form below and we'll contact you as soon as we can regarding your referral.

Thank you! Your submission has been sent successfully.

Your Name

Email Address

Contact Number

Suburb

Service

About you

How did you hear about us?

Other

What happens next?

Once your referral has been submitted, a member of our team will be in touch to discuss your support needs, answer any questions, and talk through the next steps.

We understand that finding the right support is personal. There’s no pressure and no obligation, just a conversation to see whether ELMSS is the right fit for you.

Questions before submitting a referral?

We’d love to hear from you.

📞 0480 766 027 ✉️ ELMSupportservices@gmail.com

Enriching Lives Melbourne Support Services Support that starts with the person.