Application Form to Transfer Home Care Services to Another Approved Provider

This form is for home care providers. Use this form if you want to transfer one of your Home Care Package services to another approved provider.

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Application Form to Transfer Home Care Services to Another Approved Provider

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Publication date:
Date last updated:
Publication type:
Form
Audience:
Health sector
Language:
English
Description:

This form gives notice to the Department of Health that you plan to transfer home care services to another approved provider.

Do not complete this form if you are moving:

  • clients between your different services
  • service items between your different outlets

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