Instructions to make a referral for a mental health crisis breathing space
- In the form below select whether you are referring someone else or are self-referring for a mental health crisis breathing space.
- Enter all other details. It's beneficial to provide the applicant's phone number. Then our specialist debt advisers can start helping with the debts as soon as possible.
- Upload a signed Debt Respite Form from an approved mental health professional: Please note this can be a photo or scan of the original document.
- Submit your referral for a mental health crisis breathing space.