Medical and health professionals can refer clients to the Epilepsy Foundation. To make a referral, please download and complete the form below, then follow the instructions for forwarding the form to the Foundation.
Referral form (Word doc) - download and complete this form electronically (you can print and save it too) and email to the Epilepsy Foundation.
Referral form (pdf) - download and print, then complete the form in writing, and either:
fax it to the Foundation on 03 9882 7159
mail to 818 Burke Road, Camberwell Vic 3124 or
scan and email to Epilepsy Foundation
For further information or assistance in making a referral, please call the Epilepsy Foundation (Melbourne metropolitan) on 8809 0600 or the Epilepsy Helpline (regional Victoria) on 1300 852 853.
Alternatively, you can email the Epilepsy Foundation.