This online tool enables health and aged care professionals to request an assessment for a patient or client. If you want to apply for an assessment for yourself or a family member or friend please use Apply for an assessment.

GPs may also be able to use e-Referrals from within their practice management system.

Your details

We have pre-filled this information based on recent visits, if this information is not correct click here to clear all data.

If entered, a confirmation email will be sent to this address. Use the format
Must be 10 numbers, including area code.

Terms and conditions