My Aged Care ID number

Do you have a My Aged Care ID number?* - required
If you have a My Aged Care ID number:


My Details

Your My Aged Care ID number starts with 'AC'

Unsure what region the client's address falls in? Use our postcode locator search

By clicking submit you are consenting to provide Scope Home Access with this information. All information is stored in line with our Privacy and Confidentiality Policy. To download a copy of this policy click here
If you do not have a My Aged Care ID number:


Referrer Details


Reason for Referral

Reason for referral:* - required
Are the modifications required for discharge from hospital:* - required
i.e. OT specifications


Client Details

Unsure what region the client's address falls in? Use our postcode locator search

Interpreter required:* - required
Aboriginal or Torres Straight islander:* - required
 

Living Arrangements

Client living arrangements:* - required

 

Package Approval 

Does client have a home care package:* - required
If Client has a home care package please advise:

 

Home and Safety Access

Adequate parking/ access:* - required
Structural hazards:* - required
Animals:* - required
By clicking submit you are consenting to provide Scope Home Access with this information. All information is stored in line with our Privacy and Confidentiality Policy. To download a copy of this policy, click here.
 

Mandatory field(s) marked with *