Under the Mental Health and Wellbeing Act 2022 , we will contact you .
If you do not want us to contact you, you will need to provide information about yourself so that we can make sure we:
don't try to contact you, and delete the information we receive about your compulsory treatment in future. The information you provide us will be handled responsibly by our administration staff. You can find out how we manage your information and protect your privacy.
You can get in touch by phone, email, by sending a copy of our form. Our form is available in 27 languages. You can also fill in an online form on this page.
If you change your mind later and wish to be contacted by IMHA when you are receiving compulsory treatment, you can contact us.
Call or email us You can ask us not to contact you by phone or email:
Our printable PDF form is available in English, First Nations design, and in 27 languages.
Once complete, you can email it to us:
or you can send it to our postal address:
postal address:Independent Mental Health Advocacy GPO Box 4380 MELBOURNE VIC 3001 English and First Nations – printable
IMHA tell us not to contact you form – English – printable
PDF
170.46 KB
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IMHA tell us not to contact you form – First Nations design – printable
PDF
293.2 KB
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In your language - printable
Amharic/አማርኛ
IMHA tell us not to contact you form – Amharic – printable
PDF
246.59 KB
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Arabic / لعربية
IMHA tell us not to contact you form – Arabic – printable
PDF
407.68 KB
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Assyrian / ܐܵܬܘܿܪܵܝܵܐ
IMHA tell us not to contact you form – Assyrian – printable
PDF
317.62 KB
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Chinese Simplified / 简体中文
IMHA tell us not to contact you form – Chinese simplified – printable
PDF
399.77 KB
(opens in a new window)
Chinese Traditional / 繁體中文
IMHA tell us not to contact you form – Chinese traditional – printable
PDF
649.36 KB
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Croatian / Hrvatski
IMHA tell us not to contact you form – Croatian – printable
PDF
253.32 KB
(opens in a new window)
Dari / درى
IMHA tell us not to contact you form – Dari – printable
PDF
373.33 KB
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Dinka / Thuɔŋjäŋ
IMHA tell us not to contact you form – Dinka – printable
PDF
339.37 KB
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Farsi (Persian) / فارسى
IMHA tell us not to contact you form – Persian – printable
PDF
311.8 KB
(opens in a new window)
Tagalog (Filipino) / Tagalog
IMHA tell us not to contact you form – Tagalog – printable
PDF
206.38 KB
(opens in a new window)
Greek / Ελληνικά
IMHA tell us not to contact you form – Greek – printable
PDF
276.95 KB
(opens in a new window)
Hindi / हिन्दी
IMHA tell us not to contact you form – Hindi – printable
PDF
403.71 KB
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Italian / Italiano
IMHA tell us not to contact you form – Italian – printable
PDF
200.74 KB
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Karen / s'gaw - ksw
IMHA tell us not to contact you form – Karen – printable
PDF
284.08 KB
(opens in a new window)
Korean / 한국어
IMHA tell us not to contact you form – Korean – printable
PDF
749.94 KB
(opens in a new window)
L-Z Macedonian / Mакедонски
IMHA tell us not to contact you form – Macedonian – printable
PDF
331.58 KB
(opens in a new window)
Oromo / Afaan Oromoo
IMHA tell us not to contact you form – Oromo – printable
PDF
242.3 KB
(opens in a new window)
Punjabi / ਪੰਜਾਬੀ
IMHA tell us not to contact you form – Punjabi – printable
PDF
279.6 KB
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Russian / Русский
IMHA tell us not to contact you form – Russian – printable
PDF
254.4 KB
(opens in a new window)
Serbian / Cрпски
IMHA tell us not to contact you form – Serbian – printable
PDF
292.23 KB
(opens in a new window)
Sinhalese / සිංහල
IMHA tell us not to contact you form – Sinhalese – printable
PDF
413.29 KB
(opens in a new window)
Somali / Soomaali
IMHA tell us not to contact you form – Somali – printable
PDF
232.78 KB
(opens in a new window)
Spanish / Español
IMHA tell us not to contact you form – Spanish – printable
PDF
203.13 KB
(opens in a new window)
Tamil / தமிழ்
IMHA tell us not to contact you form – Tamil – printable
PDF
365.59 KB
(opens in a new window)
Turkish / Türkçe
IMHA tell us not to contact you form – Turkish – printable
PDF
270.02 KB
(opens in a new window)
Urdu / ارُدوُ
IMHA tell us not to contact you form – Urdu – printable
PDF
317.11 KB
(opens in a new window)
Vietnamese / Tiếng Việt
IMHA tell us not to contact you form – Vietnamese – printable
PDF
389.66 KB
(opens in a new window)
If you use a screen-reader when you read online, you can download an accessible copy below. This form is not for printing .
Fill-in this form on your computer and then email to us: admin@imha.vic.gov.au .
English – screen-reader friendly
IMHA tell us not to contact you form – English
Word
448.25 KB
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In your language – screen-reader friendly
Amharic/አማርኛ
IMHA tell us not to contact you form – Amharic
Word
457.84 KB
(opens in a new window)
Arabic / لعربية
IMHA tell us not to contact you form – Arabic
Word
456.13 KB
(opens in a new window)
Assyrian / ܐܵܬܘܿܪܵܝܵܐ
IMHA tell us not to contact you form – Assyrian
Word
457.49 KB
(opens in a new window)
Chinese Simplified / 简体中文
IMHA tell us not to contact you form – Chinese simplified
Word
455.55 KB
(opens in a new window)
Chinese Traditional / 繁體中文
IMHA tell us not to contact you form – Chinese traditional
Word
456.71 KB
(opens in a new window)
Croatian / Hrvatski
IMHA tell us not to contact you form – Croatian
Word
458.16 KB
(opens in a new window)
Dari / درى
IMHA tell us not to contact you form – Dari
Word
455.06 KB
(opens in a new window)
Dinka / Thuɔŋjäŋ
IMHA tell us not to contact you form – Dinka
Word
452.13 KB
(opens in a new window)
Farsi (Persian) / فارسى
IMHA tell us not to contact you form – Persian
Word
453.33 KB
(opens in a new window)
Tagalog (Filipino) / Tagalog
IMHA tell us not to contact you form – Tagalog
Word
452.92 KB
(opens in a new window)
Greek / Ελληνικά
IMHA tell us not to contact you form – Greek
Word
456.53 KB
(opens in a new window)
Hindi / हिन्दी
IMHA tell us not to contact you form – Hindi
Word
458.88 KB
(opens in a new window)
Italian / Italiano
IMHA tell us not to contact you form – Italian
Word
451.91 KB
(opens in a new window)
Karen / s'gaw - ksw
IMHA tell us not to contact you form – Karen
Word
455.4 KB
(opens in a new window)
Korean / 한국어
IMHA tell us not to contact you form – Korean
Word
467.35 KB
(opens in a new window)
L-Z Macedonian / Mакедонски
IMHA tell us not to contact you form – Macedonian
Word
454.86 KB
(opens in a new window)
Oromo / Afaan Oromoo
IMHA tell us not to contact you form – Oromo
Word
454.04 KB
(opens in a new window)
Punjabi / ਪੰਜਾਬੀ
IMHA tell us not to contact you form – Punjabi
Word
457.41 KB
(opens in a new window)
Russian / Русский
IMHA tell us not to contact you form – Russian
Word
454.49 KB
(opens in a new window)
Serbian / Cрпски
IMHA tell us not to contact you form – Serbian
Word
455.43 KB
(opens in a new window)
Sinhalese / සිංහල
IMHA tell us not to contact you form – Sinhalese
Word
461.78 KB
(opens in a new window)
Somali / Soomaali
IMHA tell us not to contact you form – Somali
Word
456.92 KB
(opens in a new window)
Spanish / Español
IMHA tell us not to contact you form – Spanish
Word
450.84 KB
(opens in a new window)
Tamil / தமிழ்
IMHA tell us not to contact you form – Tamil
Word
460.41 KB
(opens in a new window)
Turkish / Türkçe
IMHA tell us not to contact you form – Turkish
Word
452.32 KB
(opens in a new window)
Urdu / ارُدوُ
IMHA tell us not to contact you form – Urdu
Word
456.77 KB
(opens in a new window)
Vietnamese / Tiếng Việt
IMHA tell us not to contact you form – Vietnamese
Word
459.16 KB
(opens in a new window)
Use this form to tell us not to contact you.