Community Visitors Scheme (CVS) Care Recipient Profile Form
Use this form to provide care recipient details, including any preferences, to help the CVS match the care recipient to a suitable volunteer visitor. This form can be completed by an aged care service provider, a CVS auspice coordinator, the care recipient or their representative.
Downloads
CVS Care Recipient Profile Form
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:
13 February 2020
Last updated:
20 February 2020
Publication type:
Form
Intended audience:
General public
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.