Tell us not to contact you

We will contact you at key points when you are receiving compulsory treatment. We will do this unless you have told us not to.

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:

Email a printable form

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
(opens in a new window)
IMHA tell us not to contact you form – First Nations design – printable
PDF 293.2 KB
(opens in a new window)

In your language - printable

Amharic/አማርኛ

IMHA tell us not to contact you form – Amharic – printable
PDF 246.59 KB
(opens in a new window)

Arabic / لعربية

IMHA tell us not to contact you form – Arabic – printable
PDF 407.68 KB
(opens in a new window)

Assyrian / ܐܵܬܘܿܪܵܝܵܐ

IMHA tell us not to contact you form – Assyrian – printable
PDF 317.62 KB
(opens in a new window)

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
(opens in a new window)

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
(opens in a new window)

Dinka / Thuɔŋjäŋ

IMHA tell us not to contact you form – Dinka – printable
PDF 339.37 KB
(opens in a new window)

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
(opens in a new window)

Italian / Italiano

IMHA tell us not to contact you form – Italian – printable
PDF 200.74 KB
(opens in a new window)

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
(opens in a new window)

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)

Email a screen reader-friendly form

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
(opens in a new window)

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)

Fill in the online form

Use this form to tell us not to contact you.


This is a unique number that all consumers accessing public designated mental health services are assigned. We use this number to make sure we identify you correctly. If you don’t know your SWURN, you can ask your mental health and wellbeing service, or contact IMHA for information on who to ask.

Updated