Referrals

If you know someone who would benefit from assistance, please complete one of our referral forms.

How do I refer a 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. Or if you know someone who is under 65 and requires disability support services, please complete the Disability Support Services Referral form.

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

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