Referral Form
Confidential & free.

REFER YOURSELF,
OR SOMEONE ELSE.

If you're supporting someone else, please have their consent where possible. A member of our team will review your referral and follow up.

01 · Who is this for?
02 · Client details
03 · Kind of support needed
Because you are…
Not Just A Statistic.
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NOT JUST
A STATISTIC
ELEVATE · EMPOWER · BELONG

Supporting individuals and communities through advocacy, connection and practical support.

ACNC Registered Charity
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Contact
Crisis? Call Lifeline 13 11 14 or 000 if you or someone else is in immediate danger.
Acknowledgement of Country

We acknowledge the Traditional Custodians of the lands on which we work and live. We pay our respects to Elders past, present and emerging, and extend that respect to all Aboriginal and Torres Strait Islander peoples today.

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Legal Identity
NOT JUST A STATISTIC LTD
ABN: 65 699 934 515

A Public Company Limited by Guarantee, incorporated in Australia. Once registration is complete, Not Just A Statistic Ltd will be registered as a charity with the Australian Charities and Not-for-profits Commission (ACNC).

© 2026 Not Just A Statistic Ltd. All rights reserved.