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Residential Aged Care Online Application Form

Thank you for choosing to apply for accommodation with Eldercare.

Once you have successfully finished this application, you will receive an email explaining the next steps in the process.

Please note that completion of this application, and inclusion on the list, does not constitute an offer of placement at an Eldercare facility.

By providing personal details to Eldercare, you are giving us your express consent to use this information to determine the applicant’s suitability for vacancies as they arise.

All personal information submitted to Eldercare will be stored securely and used solely for the purpose of determining applicants’ suitability for accommodation.

Applicant Details

Contact Person Details

Facility Preference

You have the option of continuing this application online by completing the following two sections. To proceed, please click on the Show button below and submit your information.

Alternatively, you can provide this information when a Residential Admissions team member contacts you to discuss your application.

Applicant's Legal Representative

SACAT Orders in place

General Information

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Every comment, compliment, suggestion and complaint we receive presents an opportunity for us to review the service we offer.

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