Get Help

Alcohol and Drugs

Ready to talk to someone about your drinking and / or drug use?

Start with us. Simply fill out the form below.

We will care for you at your pace and how you choose. 

“The support, kindness and respect I have received here has been absolutely amazing.” - BCHS residential detox client

Once the form has been submitted one of our staff will then contact you ASAP. 

Or, if you’d prefer to call us, dial 5406 1277 during business
hours to ask for help. 
Our location is 137 Holdsworth Road, North Bendigo. Simply walk or drive up the driveway to the building at the back.

Everyone is treated with dignity. 

Is this a self-referral?(Required)
Who is filling out this form?(Required)
Is the individual aware you are filling in this form?
Please answer this question if you ticked either Family or Friend to the previous question.

Your details

Name(Required)
DD slash MM slash YYYY
Address
Preferred contact method
Is an interpreter required?
Do you identify as Aboriginal or Torres Strait Islander?
Do you consent to being contacted for Intake & Assessment?(Required)
Please note: If you do not consent to being contacted, we are unable to progress with the referral process.
Do you consent to the sharing of medical information?
Please note: The sharing of your medical information may be to other internal services, other healthcare providers or approved third parties such as family or friends. If you have questions about this, please speak to Intake and Assessment.
If it is safe to do so, do you consent to BCHS leaving message when calling?(Required)

More Info on Services

Reducing 
Harm

For Families, Carers & Friends