Care Connect service areas include Victoria, New South Wales and Queensland

Victoria

Care Connect offers our services across the following local government areas across Victoria. For more information, call us at 1800 692 464

New South Wales

Care Connect offers our services across the following local government areas across Metropolitan Sydney, the Greater Wollongong area and the mid North Coast. For more information, call us at 1800 692 464

Refer someone for care finder support now

For more information, call us at 1800 940 633

Has the person consented to this referral*

Yes

Are they aware we will contact them via phone*

Yes

Do they have decision making capacity?*

Yes

If you have answered No to the above, outline whether Enduring Power of Attorney or Guardian is in place.

(eg. Enduring Power of Attorney / Guardianship)

Client Details

Client’s first name*

Client’s surname*

Client’s DOB*

Client’s Local Government Area*

Client’s Address

Street Address City

Client’s phone number*

Interpreter required?

Yes

if yes, please specify:

Country of birth

Preferred language

Client’s Aged Care Number if known

Client's Gender

Does the client identify with any of the following:

Aboriginal and/or Torres Strait Islander origin

Culturally and linguistically diverse (CALD)

Socially and/or financially disadvantaged

LGBTI

Care Leaver

Lives in rural or remote area

Hesitant to engage with aged care service, institutions, or government

Veteran

Living with mental health condition

Residential setting

Living arrangements*

Care finder support often occurs in the client's house, are there any known safety risks?*

Current support network*

List informal supports e.g. children, and any barriers impacting their assistance.

Current formal services*

Example – fortnightly domestic cleaning

At what stage of the aged care journey is the client?*

Please select one option from the dropdown menu

Eligibility

To receive Care Finder support a person must: (both must apply)*

have no carer or support person who can help them, or not have a carer or support person they feel comfortable or trust to support them, and

be eligible for government-funded aged care (use the Eligibility checker to learn more).

In addition, they should have one or more of these reasons for needing intensive support:

have difficulty communicating because of language or literacy problems

find it difficult to understand information and make decisions

be reluctant to engage with aged care or government

be in an unsafe situation if they do not receive services.

What is the primary support need?*

(Brief explanation of the main area/s the client needs assistance with from the care finder program. Please note that the care finder program provides specialist assistance to help people to understand and access aged care and connect with other relevant supports.)

Is support required for the below:

Mental health

Housing

Family violence

If you have indicated yes for any of the above, has the client been referred to specialised support services? Please provide further details or write N/A if not applicable*

Please let us know the client's strengths as you have found working with them.*

Preferred contact: (if not client)

Name

Telephone

Relationship to client

Self Referral*

Yes

Referrer Details

If you are referring yourself, you do not need to complete this section please use the SUBMIT button below to complete your enquiry.

Referrer’s name*

Role*

Company/Organisation*

Phone number*

Email*

Relationship to client*

Submission of a referral does not guarantee assistance through the Care Finder program. All referrals are assessed in accordance with Care Finder eligibility criteria. A warm referral to a more appropriate service may be required.

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