Housing - Secondary Consultation Request Form

Housing- Secondary Consult Request Form

Agency requesting consult *

Practitioner name and Position *

Phone number (if open to call instead of teams meeting)

Email Address *

Local Government Area (LGA) *Area will inform which services are available for client.

Please indicate your availability for consultation (e.g., Monday 13th, 1-3pm). Note: the Housing Pathways Coordinator will send you a calendar invite with the confirmed meeting time. *

Do you have the client's consent to consult? *

Client's income and if they have children in care (this will affect housing options) *

Brief description of client's housing situation, including any tenures in place. Please note if the client is engaged with an IAP Services or in Social Housing. *

Brief description of current family violence situation, more specifically how it is affecting their housing options or current tenancy. *

What services are engaged with the client? *

What are you hoping to get out of the secondary consultation? Do you have specific questions to guide the consult? *

Please upload any supporting documentation here (if relevant)

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