Request support

Request support or refer a participant

We respond to every enquiry within one business day. For urgent requests — hospital discharge, housing at risk, or supports stopping this week — call 1300 765 559 instead of using this form.

1Who’s enquiring?
Who’s enquiring?
2How are supports funded?
3Suburb and postcode
4What support are you looking for?

Tick as many as apply.

I want to live well at home

I need a home, or a break from home

I want to get out and take part

I want to build skills and get my plan working

5When do you need it?
6Your details
Communication needs

Tell us how you communicate best and we’ll match it.

0 characters — short is fine.

7Consent