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Refer Yourself or Someone You Care About

Whether you're referring yourself, a family member, a friend or a client, we're here to help.
 

Complete the referral form below and one of our friendly team members will contact you within one business day.
 

Don't have Support at Home funding yet?

No problem—we can also assist with a referral to My Aged Care.

 Prefer to speak with someone? Call us on 0341 378 153.

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Client Referral Form

Please provide the requested information below to initiate the client referral process, this is vital information in ensuring we can best meet your needs.

Refer a Friend, Earn a 
$100 Voucher Each

How It Works

It's simple, if you refer someone to LVHSS and they go on to receive regular services with us, you'll both receive a $100 gift voucher as our way of saying thank you.

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We've built our reputation in Gippsland on trust and word of mouth, and there's no better recommendation than one that comes from someone who knows us personally.* 

Terms and Conditions*

The person you refer needs to commence and maintain regular ongoing services with LVHSS for a minimum of six months. Once that six month period is complete, both you and your referred friend will each receive a $100 gift voucher.

 

The voucher is issued after the six month eligibility period is met, is not redeemable for cash, and one referral reward applies per eligible referred client. This offer is subject to change at LVHSS's discretion.

       Terms & Conditions:

  • The referred client must commence and maintain regular ongoing services with LVHSS for a minimum of six (6) months.

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  • The referring person and the referred client will each receive a $100 gift voucher once the referred client completes six (6) consecutive months of regular services with LVHSS.

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  • The voucher will be issued after the six-month eligibility period is met.

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  • This offer is not redeemable for cash and is subject to change or withdrawal at LVHSS's discretion.

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  • One referral reward applies per eligible referred client.

Date of Birth
Day
Month
Year
Level of Support at Home Program? Please select one:
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8

If you do not have a Support at Home Program:

We can send a referral to the government portal My Aged Care for you.

Consent to send a referral for you?
Yes
No

Do you need someone to advocate for you? If yes, please provide the details of your loved one or someone who can act as your advocate.

If you don't have an advocate, we will be more than happy to do this for you.

Do you already have Support at Home or Home Care funding?
Yes
No
I'm not sure
Would you like LVHSS to assist you with a referral to My Aged Care?
Yes, please contact me to discuss a referral.
No, I will organise this myself.

​Don't have funding yet? That's okay! We can help guide you through the My Aged Care referral process and explain your options.

Please don’t hesitate to contact us for more information on 0341 378 153

Note: All information shared will be treated confidentially and used solely for the purpose of addressing your care requirements and making suitable arrangements.

Latrobe Valley Home Support Services

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