How to apply for our service

Meals on Wheels helps frail older people, those with disabilities, and their carers stay independent at home for as long as possible, delaying the need for aged care or other support.

If you are wishing to become part of our service you can…

Visit the My Aged Care Website and fill out their Online Referral Form.

Visit the NDIS Website or How to Apply

Call us on 0246 472 073

Fill out the Online Referral Form

Assessment Form

Applicant Details

Date(Required)

Title(Required)

Name(Required)

First Last

Birthday(Required)

Sex(Required)

Contact Number(Required)

Email(Required)

Address(Required)

Suburb(Required)

State(Required)

Post Code(Required)

Emergency Contact Details

Contact Name(Required)

Contact Number(Required)

Medical Details

Are you Aboriginal or Torres Strait Islander?(Required)

Yes

No

Are you on a Package/Package Care Provider?(Required)

Yes

No

Referred By

Country of Birth

Language Spoken

Pension Number

Medicare Number

My Aged Care Number

NDIS Number

Which service are you interested in?

Comments

How to apply for our service

If you are wishing to become part of our service you can…