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Emergency Help Line 24 Hours

000

Send us a Mail

info@gccare.org.au

Corporate Office

Deer Park, VIC 3023

Phone: 0383 469 695

09:00 am-05:00 pm(Mon to Fri)

Referral Form

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Better Care with Compassion, Accountability, Respect and Excellence

Home
Better Care with Compassion, Accountability, Respect and Excellence

Emergency Help Line 24 Hours

000

Send us a Mail

info@gccare.org.au

Corporate Office

Deer Park, VIC 3023

Phone: 0383 469 695

09:00 am-05:00 pm(Mon to Fri)

We offer a range of recovery-based flexible community-based supports for people who are suffering from physical and mental health issues and conditions. Our support workers use their professional skills and lived experience to listen and support our participants during the visit with you in your home and community.

IMPORTANT lINKS

ABOUT US
OUR MISSION
NDIS
GA L LARY
LEGAL DISCLAIMER
FAQ

We acknowledge Aboriginal and/or Torres Strait Islander peoples and communities as the Traditional Custodians of the land we work on and pay our respects to Elders past, present and emerging. We recognise that their sovereignty was never ceded.

We are committed to cultivating inclusive environments for staff, consumers and carers and celebrate, value and include people of all backgrounds, genders, sexualities, cultures, bodies and abilities.

Referral form

Participant Name *

First

Last

Address *

Gender *

Date of Birth *

Telephone *

NDIS No

Plan start date

Plan end date

Payment Management

Language Spoken

Formal Diagnosis

Client Goal

Current Mobility Status

Wheelchair
Walking
Walking with aid
Hoist transfer

Total Hours support / Week *

Support Requested Days preferred

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Additional Comments

Contact for appointment *

Relationship *

Phone Number *

Referrer Name

Referrer Phone

Referrer Address