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.


Community Visitors Scheme (CVS) Care recipient profile form

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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.

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If you would like a response please use the enquiries form instead.