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OT Plus Aged Care  Referral Form

We provide comprehensive Occupational Therapy services for clients across a range of aged care programs, including

 

  • The Transitional Aged Care Program

  • Commonwealth Home Support Program

  • Home Care Packages

  • Short-Term Restorative Care

 

From functional and home safety assessments to tailored reablement programs and assistive technology, we offer solutions that empower our clients to live confidently and comfortably. This happens all from the comfort of their own home.

 

Our Occupational Therapists improve home safety, enhance mobility, support daily living skills and offer cognitive support and carer training. We focus on practical solutions to promote independence and safety in the home.

If you have any questions before submitting, please contact our admin team at

admin@otplus.net.au or 1300 933 122

OCCUPATIONAL THERAPY PLUS

AGED CARE REFERRAL FORM

CLIENT DETAILS

Birthday
Day
Month
Year

ALTERNATIVE CONTACT / PLAN NOMINEE

RELEVANT MEDICAL HISTORY

REASON FOR REFERRAL

Urgency

RISK ASSESSMENT

Are there any risks associated with conducting a home visit to this client?
Yes
No

REFERRER INFORMATION

1300 933 122

125 Prince Street, Orange NSW 2800

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