Downloads
Aged Care Volunteer Visitors Scheme (ACVVS) – Care recipient referral form
You can also use the webform to Request an Aged Care Volunteer Visitors Scheme (ACVVS) visitor.
We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.
Publication date:
Date last updated:
Publication type:
Form
Audience:
General public
Language:
English
Description:
This form is confidential when completed. It asks for details of:
- the referrer
- the person consenting to the referral
- the care recipient
- any preferences the care recipient has regarding their visitor, including their gender, age range or background
This is an optional form. Auspices are welcome to use their own form if they wish.