Expression of Interest

All information you provide during the registration process is completely confidential. Personal information provided will never be disclosed, sold or otherwise transferred to any third parties without your explicit instructions or consent. Personal information is always held by The Sanctuary Byron Bay in the strictest of confidence. Additionally, we impose high level security measures on our internal processes including our computer systems. All digital information is protected by secure firewalls and stored in secured databases with online information exchange occurring only on encrypted internet channels. If you have concerns about privacy, please contact us directly via phone or in person.

Full Name:

Phone AH:

Phone Mobile:

Email:

Suburb/Town:

Country:

Sex:

male female

How would you prefer to be contacted?
 

Phone AH Phone MB Email

Additional Notes:
 

Is this inquiry:

for yourself
 

for another

 

for both yourself and another

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Testimonials

“…Thank you for providing a drug treatment program for my son that was also able to deal with his bipolar and ADD/ADHD conditions. Your family program was invaluable as I now have better understanding on how to support him. I’ve also gained valuable knowledge on the complexities of dual diagnosis treatment and am more confident on how to help him manage his issues in the future….” Mother of 17 year old client

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