ACSO is contracted to deliver specialist assessments, treatment planning and brokerage across a range of different support services and programs. If you are a professional and wish to make a referral on behalf of your client and have obtained consent to do so, please use the forms below.
COATS On Hold Form Agencies are required to submit this form to COATS upon consultation with Department of Health and Human Services, if appointments are unable to be provided for treatment or at particular sites.
Please use this referral form only if you are referring a client into treatment from a Magistrate or County Drug Court.
Bail Referral Form Please use this referral form only if you are a case manager supervising a client engaged in one of the following Bail programs: ARC List, CISP, CREDIT Bail and Neighbourhood Justice Centre.
Diversion Referral Form To be used only by AOD service providers that are accredited by DHHS to provide AOD assessment and/or treatment to forensic clients. Agencies include Intake and Assessment providers, Aboriginal, Residential, Youth and Treatment providers.
Please use this referral form if you are a Parole Officer referring a client who has made an application for parole (Parole Assessment Suitability Stage) or if parole has been granted. To use this form, the client must be in custody. For clients already on Parole in the community, a full COATS referral must be sent to firstname.lastname@example.org
This referral form is available for workers who are involved with a client’s transition from prison into the community, including; ATCs, case workers, prison-based health service (including drug treatment), housing and residential workers, ReConnect programs, Thomas Embling Hospital and other prison staff/programs. StepOut enables clients who are on a straight release from prison to access COATS AOD Assessment prior to their release.
This referral form is available for Youth Justice case managers only in Victoria. This referral process replaced the paper version, and is effective from 1st March 2017.