Referrals

Refer a client or patient

Fill in the details below and this form will open your email app with everything filled in for you — just attach any referral letters or reports before hitting send.

This form doesn't upload or store anything on our end — it simply drafts an email to referrals@aimhighrehab.com.au with your answers pre-filled. Your email app will open when you submit, and you can attach documents there directly.

Your details

Your name

Your role

Organisation (optional)

Phone

Client / patient details

Reaching out about yourself? Just enter your own details here too.

Client name

Date of birth (optional)

Claim number (optional)

Insurer / scheme

Referral details

Service requested

Urgency

Brief summary of the case / reason for referral

This opens your default email app with everything filled in. Nothing is sent or stored until you press send in your own email client.