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About Us
NDIS
Disability
Supported Independent Living
Specialist Disability Accommodation
Short Term Accommodation
Support Coordination
Community Access
Day Program
Youth Supports
Behaviour Support
Specialised Substitute Residential Care (SSRC)
Plan Management
Aged
Home Care Packages
Home Care – Services
Self-Funded
CHSP Transport
Department of Veterans Affairs
Care finder
Allied Health
Transport
Community Transport
Community Transport Disadvantaged
CHSP Transport
CHSP
About CHSP
CHSP Allied Health
CHSP Cottage & Centre Based Respite
CHSP Food Services
CHSP Home Maintenance
CHSP Home Mods
CHSP Nursing
CHSP Fees Policy
Careers
Work with Kirinari
Volunteering
Vacancies
Contact Us
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1300 547 462
Care Finder Form
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3
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Who is this referral for?
Refer Someone
Refer Yourself
Referrer details
Refer an elderly loved one, relative, or someone you know to our free Care Finder service. Start by providing all the necessary information about yourself (the referrer) before clicking ‘Next’. Make sure that all of the details you provide in our Referrer Details form are correct and up-to-date.
Date
DD slash MM slash YYYY
Your relationship to the client
Name
(Required)
Home Phone
Mobile
Email
(Required)
Organisation name
I have consent from the client to make this referral
(Required)
Yes
No
Not Applicable
Consent provided by
Relationship to client
Client Details
The Client Details form is for elderly individuals who need assistance and are eligible for our Care Finder Service. Please provide the necessary client details so we can help you find the support you need. Ensure all the details you provide in our Client Details form are correct and up-to-date.
Name
(Required)
Gender
Male
Female
Other
Date of Birth
DD slash MM slash YYYY
Street Address
Town
State
Postal Code
(Required)
Home Phone
Mobile
Landline
Interpreter Required
Yes
No
What is your primary language?
Do you identify as Aboriginal or Torres strait Islander?
Yes
No
Prefer not to say
Clients preference for contact
Home phone
Mobile
Email
Face to Face
Reason for requiring support
Risk of homelessness, socially or financially disadvantaged
Communication issues due to language, learning difficulties or disability
Difficulty understanding information and making decisions
Will be in an unsafe situation if they do not receive services
Reluctance to engage with aged care or government
Have a disability, impairment or mental health concerns
None of the above
Other and provide more detail below
Other (provide more details)
Email
This field is for validation purposes and should be left unchanged.
Email
Yes, Please
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