Application to Provide Care in Respect of Provisionally Allocated Places Form

Approved aged care providers use this form to apply for a determination that you are in a position to provide residential or flexible care in respect of provisionally allocated places.


Application to Provide Care Form

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Publication date:
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Health sector

Please email the completed form and any attachments, with scanned copies of the endorsement page, to the state or territory office where the service is located.

The application may be submitted at any time before the end of the provisional allocation period.

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