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Berry Street Take Two referral form

Please fill out and submit the following form and a Take Two staff member will be in contact.

Prior to submission, this referral must be discussed with, and approved by Berry Street.

Berry Street is committed to ensuring that the personal information it collects and holds about individuals is handled appropriately and lawfully. The personal information collected via this form will only be used to inform and evidence decision making regarding eligibility and suitability for Berry Street programs, and won’t be released to any third party unless otherwise authorised by law. Full details regarding Berry Street’s privacy commitments and obligations can be accessed here. If you have any concerns regarding information collected via this form, please contact