DreamCare Support Services | Trusted NDIS Provider for Comprehensive Care

Maribyrnong, VIC 3032

0417 204 637

[email protected]

WEEKDAYS: 8:00am - 6:00pm. SATURDAY: 8:00am - 3:00pm. SUNDAY: CLOSED

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Helping to make Dreams a Reality

DreamCare Support Services

Empowering Lives, Realizing Dreams.

Referrals

Please provide your referral below, we are here to help. Thank you.

Referral

Person Referring *

Referral Date *

Referring Agency *

Phone *

Client Details

First Name *

Last Name *

Date of birth *

Phone Number *

NDIS Number *

Address *

Post Code *

Email *

How does the client manage the NDIS Funds? *

Plan

Self

NDIS

Do you need any Interpreter? *

Yes

No

Language Spoken *

Conditions

Does the client have any physical health condition? *

Yes

No

Does the client have a mental health condition? *

Yes

No

Does client have any cognitive disability? *

Yes

No

Does the client have any behaviours of concern? *

Yes

No

Service Type

Core Support *

Community Access
Domestic Assistance
Self Care Support
Transport
Respite
Sleepover
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Support Requested Hours / Days Preferred *

Additional comments / Useful Information *

Please indicate the contact person for this referral and their contact number *

Urgency of Service *

High

Medium

Low

Where did you hear about us? *

Google
Social Media
Ads
Referred By Someone
Other
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DreamCare Support Services

Empowering Lives, Realizing Dreams.

© 2025

0417 204 637

[email protected]

Maribyrnong, VIC 3032