Do you know someone who would benefit from one of our life-changing programs?

If you would like to refer someone to Windermere for a service (with their prior consent) please fill in the following form below. If you wish to enquire about a program for yourself, please visit the applicable service page. 

Fields marked with an asterisk are compulsory.  

Referrer Details

eg. 04xxxxxxxx or 03xxxxxxxx


Referee Details



Please enter preferred contact details

(Through Kids on Track) I learnt more about how drugs and alcohol affect our bodies. I don't want to end up the same way as Dad so I can now care for my body and make better decisions than what he did. 

Grade 6 Student, Program Participant - Cranbourne