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This short form helps us connect you with the right support. You do not need to provide a detailed account at this stage. Please give only brief information so we can understand urgency, access needs and the most appropriate next step.

The service is confidential, informal, impartial and independent. Information is not shared with AUT management or People & Culture unless you consent, there is an imminent risk of serious harm, or disclosure is required by law.

If there is an immediate risk of serious harm to you or someone else, please contact emergency services or your usual urgent support pathway now, then complete this form if it is safe to do so.

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