Make a Home Care enquiry

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Make an enquiry

If you would like to know more, please complete the form and one of our home care specialists will be in touch.

Marketing Form

First Name

Last Name

Phone

Suburb Postcode

Are you enquiring on behalf of someone else?

Yes

If answer to above question is "Yes", Who will be the person receiving services?

How would you summarize your home care status?

I’m doing initial research into my home care options

I have had an ACAT assessment

I have been approved for the Commonwealth Home Support Programme (CHSP)

I have been approved for a Home Care Package

I already have a Home Care Package with another provider

Message

I would like to receive information about products and services offered by BaptistCare. By providing my personal information, I consent to be contacted periodically via email, telephone, or other means, unless I choose to opt out at any time.*

By submitting this form, I acknowledge that I have read and agree to the terms of BaptistCare’s Privacy Policy. All personal information collected will be stored and managed in accordance with this policy.

Make a Home Care enquiry

Make an enquiry

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