Carer Gateway Support Referral

Use the form on this page to make a referral to Carer Gateway.

Carer Gateway Support Referral

You can use the below form if you are a carer, or someone you know is a carer of an individual who has;

  • A disability; or
  • A life limiting health/medical condition; or
  • A mental illness; or
  • Is frail and aged

If your referral is urgent, please contact The Carer Gateway on 1800 422 737, otherwise please complete this referral form and our team will contact you within 10 business days.

Carer Gateway Support Referral Form


Aged Care enquiry
 - Complete the form and we'll call you back!
NDIS & Disability enquiry
 - Complete the form and we'll call you back!
Other Services enquiry
 - Complete the form and we'll call you back!