Request an Aged Care Volunteer Visitors Scheme (ACVVS) visitor

Find out how to request a volunteer visitor with the scheme.

Request a volunteer visitor

We fund community organisations (auspices) to provide volunteer visiting services.

Older Australians who may not have regular contact with friends or relatives, or are feeling isolated from their culture or heritage, can be referred by an aged care service provider to a volunteer visiting network member in the local area.

It is also possible for older Australians receiving government-funded aged care services to refer themselves. 

If you are interested in requesting a volunteer visitor, use this form.

Request a volunteer – form

This form is for anyone who would like to request a volunteer visitor (for themselves or someone else.)

I am requesting a volunteer visitor for: (mandatory)

Person receiving the visit

Recipient name (mandatory)
Type of aged care (mandatory)
State or territory (mandatory)

Please add any details here, such as preferred language, gender of volunteer visitor, hobbies etc. This will help us find the most suitable volunteer.

Your details

If you are requesting a volunteer for someone other than yourself, please provide your contact details.

Requestor details

Privacy statement

Your personal information is protected by law, including the Privacy Act 1988.

We will only use it to contact you for more information.

Read our privacy notice for this form.

Acknowledgement (mandatory)

Or you can download a referral form.

Date last updated:

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