Make A Referral

Alfred Health Carer Services assists carers of all ages with short-term support. Services include emotional support, respite, planning for the future, carer education, wellbeing events, and links to other services and supports. We can assist by phone, telehealth or, in some cases, we can visit the carer at home.

To refer a carer to Alfred Health Carer Services:

Fill out the form on the right and we will contact the carer to complete the registration process. Once registration is complete, a time will be booked for the carer to have an initial conversation with one of our Community Development Workers.
Alternatively, call Carer Gateway on 1800 422 737 between 8:00am-5:00pm on weekdays, or call us directly on 1800 51 21 21 between 8:30am-5:00pm on weekdays.

Alfred Health Carer Services provides supports and services to Carers residing in the following local government areas:

Port Phillip
Stonnington
Glen Eira
Bayside
Kingston
Greater Dandenong
Casey
Cardinia
Frankston
Mornington Peninsula

For more information on eligibility, please click here.

Service Provider Referral Form

I confirm I have verbal/written consent from the carer to make this referral:

Yes, I have verbal/written consent.

Date consent provided:

YYYY

Your full legal name:

First Name

Last Name

Your role:

Your organisation:

Your contact number:

Your contact email:

Your preferred callback days & times:

CARER REFERRAL INFORMATION

Carer full legal name:

Carer's full legal name is required. If you do not have the carer's full legal name, please call us.

First Name

Last Name

Carer's address:

Carer's date of birth:

Carer's date of birth is required. If you do not have the carer's date of birth, please call us.

YYYY

Carer's contact number:

Carer's preferred callback days & times:

Carer's contact email:

Is a telephone interpreter required when we call?

Yes

If yes, what language is required:

Is the person being cared for over 65 years old?

Yes

What support does the carer need in their caring role?

Additional Information

Alfred Health Carer Services coordinates many opportunities for respite for older people and the people who care for them through our Commonwealth Home Support Program (CHSP), which includes:
- In-home respite
- Cottage respite
- Residential day respite (under the “care and care relationship” sub-group)
Learn more about CHSP via the link here.
To access more information about CHSP, visit the My Aged Care website via this link here.
To speak with the Alfred Health Carer Services CHSP team regarding your referral, please call (03) 9076 4300 between 8:30am-5:00pm on weekdays.
Our assessment is based on each carer’s current and immediate need for support.
Brokered respite support to carers will be based on a carer assessment and will vary depending on service demand, other services involved and changes to our funding guidelines. Staff may also need to ask for details about the nature and extent of your involvement with the family.
There may be a wait for some services due to high demand.

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