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Referring to
THE BIRTH REFLECTION

PROFESSIONAL REFERRALS

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THIS FORM CAN BE COMPLETED BY CLINICIANS, PROFESSIONALS AND OTHER WORKERS SUPPORTING FAMILIES. PLEASE COMPLETE THE FORM TO THE BEST OF YOUR ABILITY.

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**IF YOU HAVE VERBAL CONSENT FOR ME TO CONTACT THE PERSON DIRECTLY, PLEASE INDICATE THIS ON THE FORM. THIS CAN SOMETIMES MAKE ACCESSING SUPPORT EASIER FOR FAMILIES, AND I AM VERY HAPPY TO MAKE THE FIRST CONTACT.

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We at I AM ABLE CCF acknowledge the Kaurna people as the Traditional Custodians of the Adelaide Plains, honouring their enduring connection to land, waters, and culture, and pay our respects to Elders past, present, and emerging. It is both an honour and a privilege to connect with South Australian Families, on Kaurna land. 

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I AM ABLE creatively connecting families Privacy Policy

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