Expression of Interest | IRIS - A new way of supporting women who experience trauma or depression

My Details

Name *

Address *

Phone *

Date of Birth *

NHI Number (if known)

How would you prefer to be contacted initially by IRIS?*

Phone

Preferred time of day?

I would like more information about depression and trauma.

I’m unsure of my needs, but would like to talk.

I need support from IRIS

Referrer’s Details

If you are making this enquiry on behalf of someone else, please provide the details below.

Name *

Position

Organisation *

Phone *

* = required

Expressions of interest cannot be followed through without the knowledge and consent of the woman you are referring.