Residential Aged Care Enquiry Form

Interested in Residential Aged Care at our New Gisborne home?

If you or a loved one are considering the next step into residential aged care, we’re here to help guide you through the process.

Please complete the form below and Rachel Groves - Client Services, will be in touch to arrange an obligation-free chat and answer any questions you may have.

We look forward to supporting you on this important journey.

Your Name

Who is this enquiry for?

Myself

A family member or loved one

Someone I support professionally

Other - please specify

Care recipient name (if different from above)

Have they been approved for residential aged care through My Aged Care?

Yes

No

Phone Number

Email

Preferred Contact Method?

Phone

Email

Either

Best Time to Contact You?

Morning

Afternoon

Anytime

How can we assist you?

☐ I’d like more information about the services you offer

☐ I’d like to book a tour of the home

Other

Any additional information you'd like to share?