Make a Referral

Referring yourself, someone you care for, or a client? Fill in what you know — you don’t need every detail to get started. We’ll come back to you within two business days.

How It Works

No pressure and no obligation — a referral is just the start of a conversation.

  1. Send us the form below, or call us on 0467 091 230 if you’d rather talk it through.
  2. We’ll give you a call to say hello and check we’re the right fit.
  3. If we are, we’ll book a free meet-and-greet and sort the paperwork together.

Prefer paper or email? Send whatever you have to admin@connectuscare.com.au and we’ll take it from there.

About This Referral

So we know who we’re talking to.

Participant Details
Funding

Not sure yet? That’s completely fine — leave it blank and we’ll work it out together.

Plan Manager or Nominee

If there is one — otherwise skip straight past.

Representative Details

A guardian, advocate or family member who helps make decisions, if applicable.

Your Details

The person making this referral. Referring yourself? Just pop your own details in again.

What Support Are You After?

Tick anything that sounds right — nothing here is locked in.

Tell us a bit about what’s needed, what a good week looks like, and anything we should know to support well.
Consent

If you’re referring someone else, please make sure they know about it and are happy for you to send it.

Ask us for support

This page is written in Easy Read. It uses short sentences and simple words.

What a referral means

  • A referral tells us you want support.
  • You can ask for support for yourself.
  • You can ask for support for someone you care about.
  • A worker can ask for you too.

How to ask

What happens next

  • We will call you back in about 2 days.
  • We will ask what support you want.
  • You can meet us first. It is free.
  • You do not have to say yes.

How to talk to us

  • You can call us on 0467 091 230.
  • You can email us at admin@connectuscare.com.au.
  • You can ask someone you trust to call us for you.
  • We are happy to answer questions. It does not cost anything to ask.