My Aged Care – Hospital Fax Referral Form
Hospitals who are unable to use the online form can use this form to refer patients to Australian Government-subsidised aged care by fax.

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My Aged Care – Hospital Fax Referral Form
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Publication date:
October 2019
Publication type:
Form
Intended audience:
Health sector
Description:
Hospitals can use this form to refer patients by fax to:
- My Aged Care for access to the Commonwealth Home Support Programme
- Aged Care Assessment Teams for access to Australian Government-subsidised aged care, such as Home Care Packages, residential care and transition care.
If possible, we recommend using the online form for faster processing.