Make a referral to Care2You
For support coordinators, health professionals, family members, or anyone helping someone find support. Fill in what you know. You don't need every field.
Would you rather just call?
The form is detailed because it saves everyone a round of phone calls. But if it feels like a lot, especially if you're referring yourself or someone in your family, just ring us instead. We'll take the details down for you.
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Phone 0419 109 900
What happens after you send this
- We read it and check whether we can provide those supports in that area.
- We ring you to talk it through and ask anything we still need to know.
- If we can help, we set up a time to meet the person and go from there.
We aim to get back to you within 24 hours.
Referral form
Fields marked with an asterisk are required. Leave anything else blank if you don't know it.
Questions before you refer?
Ring us and talk it through. We would much rather have a conversation than have you guess.