Referrals

How do I refer someone for care?

  • If you know someone who is 65 or older and would benefit from assistance at home, please complete the Aged Care Support Referral form.
  • If you know someone who is under 65 and requires disability support services, please complete the Disability Support Services Referral form. 
  • You can submit a referral via the NDIS ECEI QLD Referral form for a child aged 0-6 with a disability or developmental delay in the Local Government Areas of Logan City, Redland City, Brisbane City or Moreton bay in QLD, Australia.
  • If you are a carer, or someone you know is a carer of an individual who has a disability, a life limiting health/medical condition, mental illness or is frail and aged you can submit the Carer Gateway Support Referral Form

You can complete the form online or download the PDF version* and email the completed PDF form to customercare@benevolent.org.au.

*Ensure that you open the PDF form separately in acrobat reader, you can download acrobat reader for free here.

Aged Care Support Referral Form

 A Benevolent society staff member with an older Australian 

 

Complete the form online 

Download the PDF version

 

Disability Support Services Referral Form 

 A benevolent society staff member with a client

Complete the form online

Download the PDF version

 

NDIS ECEI QLD Referral Form 

 A little girl with down syndrome smiling

Complete the form online

Download the PDF version

Carer Gateway Support Referral Form 

 A lady with her carer sitting at the table

Complete the form online

MAC Early Intervention Support Referral Form (SA only)

 2 children smiling

Complete the form online