Start the conversation

Get started with Connect the Dots with one simple step. Our team is ready to provide the support you need - just answer a few short questions about your situation to get started.

What to expect

We will ask a few simple and non-invasive questions about your current situation, as well as gather your contact information in order to connect you to appropriate care. This step should take no more than 5 minutes.

After you submit your form, our experienced and friendly team will contact you by phone within 24 hours to talk through the best options for you, based on your unique situation. This conversation is free of charge, confidential, and comes with no obligations or sales pitches.

We promise not to spam you or sign you up to any unsolicited mailing lists - for more information on how we handle your Privacy Policy.

Your Situation

Fields marked * are mandatory.

First, we’ll need the name of the person for whom you are seeking care.*

What is their date of birth?*

Have they recently experienced any of the following? *

Where are they currently located? *

Hospital Their own home Your residence Other

What kind of help do they need? *

Permanent Care Respite Care I’m not sure

When do you want to make the transition to care? *

Immediately (within 2 weeks) More than 2 weeks More than a month More than 3 months

Please provide your full name.*

What is your contact number?*

What is your email address?*

Has a comprehensive assessment with an Aged Care Assessment Team (ACAT) been performed? *

Yes No I'm not sure

What is the best time of day to call? *

Morning (9am - 12 noon) Afternoon (12 noon - 5pm) Any time

Please tick this box to confirm. *

I agree that the information I provide here can be stored, used and disclosed for the purpose of connecting me to aged care services.

We recognise the First Peoples of this nation and their ongoing connection to culture and country. We acknowledge First Nations Peoples as the Traditional Owners, Custodians and Lore Keepers of the world’s oldest living culture and pay respects to their Elders past, present and emerging.

Start the conversation

Get started with Connect the Dots with one simple step. Our team is ready to provide the support you need - just answer a few short questions about your situation to get started.

What to expect

Your Situation

Company

Services

Support for

Thank You

We have received your Questionnaire

We’ll analyse your information and come back to you shortly.

BEST WISHES

The Aged Care Services Team