Make A Referral

Make A Referral

Details of NDIS Participant


Please include the details of the NDIS participant who would like to Participate.
Select Services
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Aboriginal or Torres Strait Islander?
Interpreter Required?
Other Support Required (specify)

Participant/guardian Declaration

I consent to my information being provided to Green Tree Home Care Associates for the purposes of referral, service delivery and inclusion in de-identified data reporting.
MM slash DD slash YYYY

Privacy Statement

The management of Green Tree Home Care Associates are committed to ensuring that dealings with Personal Information regarding job seekers, staff, participants, and others with whom we deal comply with Australian Privacy laws. In accordance with the Australian Privacy Principles 2014, and the Privacy Act 1988, we will only use your Personal Information for the purpose of assessing your application for employment with us. The information we collect will be handed sensitively and secure with proper regard to privacy.