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Online forms: Aged & Disability Services Enquiry

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Please complete the following form to obtain additional information regarding provision of services from Council. You will be asked about the support services you are interested in and who they are for. A specialised Council HACC Assessment Officer will then contact you to discuss your request and and further information that may be required to provide the assistance you seek. 

If you have registered with our web site and are signed in, you can leave a form at any time to complete later. You can also view all of your partially completed and fully completed forms on your account page.