The Salvation Army Australia Locations Child safety

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Oasis Youth

Individual Support Form

Start by filling the Individual Support form below. Once we have received it, one of our team will get in touch with you to discuss all information related to your application.

Casework Support

If you would like to speak with us please contact our office and ask for one of our youth team.

Oasis - Central Coast

15-23 Hely Street WYONG NSW 2259

oasiscc@salvationarmy.org.au

Oasis - Hunter

5 Hudson Street HAMILTON NSW 2303

oasishunteradmin@salvationarmy.org.au

If this is an emergency or you're needing immediate support please phone Lifeline 13 11 14 or 000.

Is the young person aware of this referral?

Support required

Casework Support (Central Coast)

Drug & Alcohol Counselling (Central Coast)

Casework Support (Newcastle)

Drug & Alcohol Counselling (Newcastle)

Firstname

Lastname

Preferred name

Preferred Pronouns

Sex at Birth

Gender

Date of birth

Age

Cultural Identity

Aboriginal

Torres Strait Islanders

Australian

Other

Please specify

Current Address

Living Arrangement

Please specify

Usual Accommodation

Please specify

Principal Source of Income

Please specify

Contact phone number for young person

Emergency contact name

Emergency contact number

What goals would the young person like to achieve through support?

Are there any significant risk & safety concerns we should know about?

AOD (Alcohol and Other Drugs)

Ever had treatment for AOD use or gambling problems?

Yes

No

Mental health

Disabilities

Other support

Name of referring agency/service

Location of referring agency/service

Young person's relationship with referrer

Referrer contact phone

Referrer email

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Oasis - Central Coast

(02) 4353 9799
Email us
15-23 Hely Street WYONG NSW 2259

Oasis - Newcastle

(02) 4969 8066
Email us
5 Hudson Street, Hamilton NSW 2303

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We value and include people of all cultures, languages, abilities, sexual orientations, gender identities, gender expressions and intersex status. We are committed to providing programs that are fully inclusive. We are committed to the safety and wellbeing of people of all ages, particularly children.