Forms to fill out for Residential Care

If you would like to apply to become a resident at one of our care homes, or apply for somebody else, you will need to fill out the required forms below.

You can send your completed forms back to the Admissions Coordinator at the care home you are interested in or email them to This email address is being protected from spambots. You need JavaScript enabled to view it.. If you choose to mail them directly to the care home, please mark it to ‘Attention: Admissions Coordinator’.

If you have any questions about a form, please feel free to give us a call on 1800 776 112 – we’re always happy to help.

Download the forms below

pdf Application for Residential Care (1.23 MB)  

pdf Statement of Assets NSW (1.25 MB)

Statement of Assets VIC

pdf Medical Certificate (696 KB)

pdf Application Checklist Form (681 KB)