Enquiry & Consent Form

Thank you for contacting Aus-Afritec. Please complete this form to inquire about our programs and services. Our team will respond within 48 hours.

Personal Information
Select Your Area of Enquiry
(Please tick one or more options)
Additional Information
 Please provide a detailed description of your enquiry or specific needs. The more information you can give us, the better we can assist you:
Preferred Contact Time:
 How did you hear about us?

Client Consent & Confidentiality Agreement

🔘 Privacy & Confidentiality:

Aus-Afritec is committed to protecting your personal information in accordance with privacy laws. Any details shared will be treated with strict confidentiality, ensuring your peace of mind, and used only to respond to your enquiry and deliver the requested service.

🔘 Informed Consent for Counselling & Group Therapy Services:

By ticking below, you acknowledge that: Counselling and group therapy sessions are voluntary for personal support and well-being.
Sessions may involve discussions of sensitive topics, and professional ethical standards will be upheld. You can withdraw from services at any time.

In Case of Emergency

⚠ If you or someone you know is in immediate danger or experiencing a crisis, please call:

📞 Emergency Services: 000

📞 Lifeline (24/7 Crisis Support): 13 11 14

📞 Beyond Blue (Mental Health Support): 1300 22 4636

📞 Kids Helpline (For young people under 25): 1800 55 1800

💡 Aus-Afritec is not an emergency service. 

If you require urgent support, please get in touch with the appropriate emergency service.