Make a referral

Fill in as much as you know — a half-finished form is still a good start. We aim to respond within one business day, and we'll always tell you honestly if we're not the right service.

About you

Who's filling in this form?

I am…

Your name

Organisation (if any)

Phone

About the person needing support

Skip anything you'd rather discuss on the phone.

Their name

Their age

Suburb

Tell us about them What they enjoy, how they communicate, any diagnosis or support needs, and what's been tried before.

What are you hoping support will achieve? Even a rough answer helps — "get out of the house more" is a perfectly good goal.

Support & funding

What kind of support are you after?

Community access & outings Individual / in-home support Personal care Youth mentoring Respite for family Not sure yet — need advice

How is support funded?

Roughly how many hours per week?

Preferred days & times

Ideal start date

Anything else

Notes Anything important we should know — risks, behaviours of concern, cultural considerations, worker preferences (e.g. male or female).

I understand LCT Support Care will use this information to respond to my referral, and I have permission to share the details of the person named above.

We aim to respond within one business day. This form isn't monitored around the clock — if someone is at immediate risk, call 000.

Prefer to talk?

Plenty of people would rather explain it out loud than type it out. That's completely fine.

Call us

0434 613 624

Email us

lctsupportcare@gmail.com

What happens next

We read your referral and call you back
Free intro chat — no obligation
We suggest a worker and arrange a meet-and-greet
Service agreement, then support starts

If we can't help, we'll try to point you towards someone who can.

Your privacy

Everything you send us stays confidential and is only used to assess and deliver support. We don't share information with anyone else without your consent, unless we're legally required to.