Aged Care Agency Referral Form

Thank you for visiting our website, this form is intended for Agencies wishing to refer clients under HCP, CHSP & STRC programs. Once you submit this form, we will endeavour to contact your client or nominated person within 3 business days to offer an appointment. When an appointment is secured, we will then email and notify you of this. Should you have any questions, please don't hesitate to contact our National Support Team on (07) 3517 0360.

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    Acceptable file formats PDFs, bitmap images, MS Word Documents and .zip files.