Site name *

An agency, service provider, group or practice at a physical location. Examples are City Hospital, Caring Family Support Group & Caring Medical Centre. In the case of some community groups, there may be no physical site or that a site address is confidential.

Organisation/department name

The name of the auspicing agent like a church, welfare group, hospital, health centre, educational organisation, municipal council or government department. In other words, the body responsible for the site. It may be that the organisation and site name are the same. Examples are Department of Education, Mission Australia & Caring Support Group Inc.

Chief executive

The chief executive is the person responsible for the site/group. Examples would be CEO, manager, chairperson or president.

Mailing address line 1

Mailing address line 2

Phone 1

3, 6, 7 or 10 digits

Phone 2

3, 6, 7 or 10 digits

Mobile phone

3, 6, 7 or 10 digits

Fax

3, 6, 7 or 10 digits

TTY

3, 6, 7 or 10 digits

Freecall

3, 6, 7 or 10 digits

Parking

Any information about parking at the site, which could include accessible parking, on-street parking, metered parking or timed parking.

Public transport

Briefly describe how people can access the service by public transport, including route numbers and station names if possible.

Service name *

A service is a function provided at a site. A site may have one or many services. Examples are Family Day Care, Disability Support Service & Physiotherapy.

Service description *

Is this service an indigenous specific service?

Please enter a brief description of indigenous services provided

Is this service providing a Culturally & Linguistically Diverse (CALD) service?

Please enter a brief description of CALD service provided

Does this service include mobile or outreach service provision?

Please enter a brief description of mobile or outreach service provided

Languages spoken

To select more than 1 language, hold the Ctrl key.

Interpreter available

Service criteria applies

Any relevant criteria that clients must meet to be eligible or ineligible for this service.

Select eligible gender type(s)

Male
Female
Transgender

Catchment, LGA or service area

Service access options

Referral not required

Professional referral

Self-referral

Both professional and self-referral

Comments and referral criteria

Referral information

Special requirements

Any criteria the client needs to meet in order to access the service such as Centrelink registration; Health Care Card holder or age requirements. Exclusions might include those with unmanaged mental illness; history of violence or perpetrators.

Appointments necessary

Applications required

Waiting list applies

Service contact 1 (title and/or name)

Service phone 1

3, 6, 7 or 10 digits

Service contact 2 (title and/or name)

Service phone 2

3, 6, 7 or 10 digits

Service fax

3, 6, 7 or 10 digits

Service mobile phone

3, 6, 7 or 10 digits

Service TTY

3, 6, 7 or 10 digits

Service freecall

3, 6, 7 or 10 digits

Service referral form

Opening hours

Only if different from site opening hours as above

Service name *

A service is a function provided at a site. A site may have one or many services. Examples are Family Day Care, Disability Support Service & Physiotherapy.

Service description *

Is this service an indigenous specific service?

Please enter a brief description of indigenous services provided

Is this service providing a Culturally & Linguistically Diverse (CALD) service?

Please enter a brief description of CALD service provided

Does this service include mobile or outreach service provision?

Please enter a brief description of mobile or outreach service provided

Languages spoken

To select more than 1 language, hold the Ctrl key.

Interpreter available

Service criteria applies

Any relevant criteria that clients must meet to be eligible or ineligible for this service.

Select eligible gender type(s)

Male
Female
Transgender

Catchment, LGA or service area

Service access options

Referral not required

Professional referral

Self-referral

Both professional and self-referral

Comments and referral criteria

Referral information

Special requirements

Appointments necessary

Applications required

Waiting list applies

Service contact 1 (title and/or name)

Service phone 1

3, 6, 7 or 10 digits

Service contact 2 (title and/or name)

Service phone 2

3, 6, 7 or 10 digits

Service fax

3, 6, 7 or 10 digits

Service mobile phone

3, 6, 7 or 10 digits

Service TTY

3, 6, 7 or 10 digits

Service freecall

3, 6, 7 or 10 digits

Service referral form

Opening hours

Only if different from site opening hours as above

Contact phone *

3, 6, 7 or 10 digits

Service #1

Service eligibility details

Service contact options

Service #2

Service eligibility details

Service contact options