Submit a Case Presentation

To submit a case presentation, please complete this form.

Once submitted, an email containing a link to download a detailed case study form will be dispatched to you. We will provide you with a duplicate of the submitted form for your records.

About You

Your Name(Required)

First Last

Organisation(Required)

How Can We Reach You?

Let us know the best way to contact you.

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Your Case

Provide details of your case. Please ensure you completely de-identify the details.

Briefly describe what you are being challenged by.(Required)

What guidance are you seeking? (Tick all that apply)

Reassurance

Services

Interventions

Service system navigation support

Reflections and new perspectives

Clinical capacity building

What is your current role?(Required)

This helps us to understand the scope of your practice and the nature of the relationship with the individual.

Case Details

Age

Gender

List the substance use history, compounding factors and client goals(Required)

Phone

This field is for validation purposes and should be left unchanged.

VAADA acknowledges the support of the Victoria Government