Queerspace is not a crisis response service. For crisis responses phone:

000 Victoria Police for immediate safety
1800 RESPECT family violence and sexual assault 24-hour telephone support
1800 015 188 Safe Steps Victoria available 24 hours for crisis support for women

To leave this site quickly, click the quick exit button.

Operating Hours

Search for:

Counselling. Case Management.
Advocacy. Research. Training.
Professional Development. Consultancy.

Operating Hours

Search for:

Counselling. Case Management.
Advocacy. Research. Training.
Professional Development. Consultancy.

Our Services
Our Programs
Training
Policy
Research
- Health and Wellbeing Survey
Community
- Community Board
News
- Media Releases
- Queerspace eNews
Events
Contact Us
Subscribe

Support

If you would like to access counselling, please express interest using the form below.

If you are in crisis and in need of urgent support, please call Lifeline on 13 11 14.

Please note: Please note this form is NOT for referrers. If you are wanting to make a referral for a client, please call (03) 9663 6733. We do not provide the following services: Psychiatrists (can’t provide referrals), Legal Advice (we will refer you to Family Law Courts or Legal Aid), Mediation, Diagnostic assessments & Court Reports. Only provide your email if you consent to us emailing you. You WILL receive an auto receipt to this email address when you complete this form.

Please allow up to seven business days for our Intake team to get back to you for an Intake session, and note that we do have waiting lists for services.

Title

First Name

Surname

Gender

Other Gender

Date of Birth

Pronouns

Where I currently live – my address

Suburb

Postcode

Residential Address is same as Postal Address

Postal address

Suburb

Postcode

Mobile

Work/Home Phone

Email

Do you consent for us to contact you? If yes, please tick your preferred contact method (note: you can tick more than one).

MobileHome or WorkPhoneSMS & Voice mailEmail

What is your country of birth

If you were born outside Australia, what year did you arrive in Australia?

What is your cultural background or ancestry?

Do you identify as an Aboriginal or a Torres Strait Islander?

Do any of your immediate family identify as Aboriginal or Torres Strait Islander origin?

YesNo

What is the main language you speak at home?

Will you need an interpreter?

YesNo

How well do you speak English?

Sexuality

Other Sexuality

How would you rate your reading and writing (literacy) skills?

Main source of Income

Other Source of Income

What is the highest education level you have achieved?

What is your annual income?

Do you hold a valid Health Care Card?

YesNo

What is your Health Care Card number?

What is the main reason you are contacting us?

I declare that the information I have provided is mine and I give consent for the team at drummond street services to contact me

Could not connect to the reCAPTCHA service. Please enable Javascript and reload to get a reCAPTCHA challenge.

Queerspace is an organisation dedicated to upholding the wellbeing and mental health of Melbourne’s LGBTIQ+ community, who consist of lesbian, gay, bisexual, transgender and/or gender diverse, intersex, queer, questioning and asexual people.

ABOUT US

Rights & Responsibilities
Client Consent Form
Feedback
Student Placement & Research
Career Opportunities
Support Us
Annual Reports
Volunteer
Child Safety Statement
Our Services
Our Programs
Privacy Policy
Self Care Tips
Fee Information

Newsletter

Sign up to our newsletter

Follow Us:

drummond street services proudly owns
Archer Magazine – the world’s most inclusive magazine about sexuality and gender.

Acknowledgement- Aboriginal Flag

Acknowledgement- Torres Strait Islander Flag

Queerspace acknowledges the traditional owners of the land; the Wurundjeri people of the Kulin Nations and pays respect to their Elders past, present and emerging.

© 2025, Queerspace.com | 03 9663 6733 | enquiries@ds.org.au.