Self Referral

For your privacy, all referrals completed via this online form are secure.

This form is for you to complete if you are living with HIV and would like access a particular service/s from QPP. If however you are looking for information, you can send us an email via the Contact QPP page on our website, via our website Chat link, by email to or call 1800 636 241.

If your issue or enquiry is urgent, please phone 1800 636 241 or 07 3013 5555 for immediate assistance.