Admission Forms

Are you booked into a QEC Program? Please print and complete the relevant forms prior to your visit to help us speed up the admission process.

Please note: These forms are only to be used on direction by QEC staff following your phone consultation and subsequent booking into a program. Completed forms will not be processed unless you have a confirmed booking by QEC Assessment and Intake. To book a phone consultation, please call QEC on (03) 9549 2777.

Residential Program

• Residential Program General Information
• Mothers Admission Forms
• Fathers Admission Forms
• Child Health Details Admission Form

Daystay Program

• Daystay Program General Information
• Daystay Admission Details
• Daystay Family Health Details