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Home Vacancies Supported Independent Living (SIL) NDIS FAQ

Disability Services

Supported Independent Living Short Term Accommodation Medium Term Accommodation Individualised Living Options Specialist Disability Accommodation Behaviour Support Complex Care Daily Living Skills Assistance with Daily Life Social & Community Participation Delegation of Care

Funding Streams

Funding

NDIS iCare NIISQ TAC ICWA LSA WorkCover

Home Care Services

Community Nursing Domestic Assistance Personal Care Meals & Grocery Shopping Social Support Allied Health Home & Garden In-home Respite

Funding Streams

Funding

Home Care Packages Private Services Veterans’ Home Care DVA Community Nursing Transition Care Short-Term Restorative Care

Children, Youth & Family

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Home Vacancies

1300 727 701

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A new name, the same commitment to you. Southern Cross Support Services and Programmed Care are now Kanda.

Disability referral

If you would like to refer your client for disability support services, please use the following link to submit your referral.

Disability referrals (opens in new tab)

Home care referral

If you would like to refer a client or patient following a hospital visit, please complete the form below.

Funding Type(Required)

DVA Card Number(Required)

Claim Number(Required)

Health Fund(Required)

Member Number(Required)

NDIS Participant Number(Required)

Client currently receiving DVA funded services

Yes

No

Provider Name

Patient Details

Patient First Name(Required)

Patient Last Name(Required)

Street Address(Required)

Suburb(Required)

Postcode(Required)

State(Required)

Patient Phone Number(Required)

Patient Email Address

Patient Date of Birth(Required)

DD slash MM slash YYYY

Next of Kin First Name(Required)

Next of Kin Last Name(Required)

Next of Kin Phone Number(Required)

Next of Kin Email Address

Referral Details

Are you making this referral on behalf of a hospital?

Yes

No

What is your role?(Required)

Please specify(Required)

Date of Referral(Required)

DD slash MM slash YYYY

Referrer First Name(Required)

Referrer Last Name(Required)

Referrer Phone Number(Required)

Referrer Email Address(Required)

Referring Practice/Clinic Name

Ward(Required)

Date of Hospital Admission(Required)

DD slash MM slash YYYY

Diagnosis(Required)

Do you know the date of first visit?

Yes

No, to be confirmed

Date of First Visit(Required)

DD slash MM slash YYYY

Who is your provider?

Hospital Provider

GP Provider

Consultant Provider

Hospital Provider Number

Consultant Provider Number

Next OPD Date

DD slash MM slash YYYY

Next OPD Date

DD slash MM slash YYYY

General Practitioner (GP) Details

GP First Name

GP Last Name

GP Phone Number

GP Email Address

Name of GP Practice/Clinic

GP Provider Number

Treatment Request

Wound Management

Medication Management

Continence Assessment/Management

Stomal Therapy

Palliative Care

Personal Care Assistance

Domestic Assistance

Occupational Therapy Assessment

Speech Therapy

Physiotherapy

Podiatry

Other

Wound Management

Post-surgical

Ulcer

Traumatic

Other

Wound Management Details

The medication authorisation form is required to be completed prior to your first visit. Please click here to download a copy of the form.

Have you completed the medication authorisation form?

Yes

No

Please upload the Medication Authorisation Form

Max. file size: 64 MB.

Please email your completed medication authorisation form to clinicalcareinfo@newcarebrand.com.au or fax (add number) prior to the first visit.

Medication Management Details

Continence Assessment/Management Details

Stomal Therapy Details

Palliative Care Details

Personal Care Assistance Details

Domestic Assistance Details

Occupational Therapy Assessment Details

Speech Therapy Details

Physiotherapy Details

Podiatry Details

Details

Additional Information

Notes

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Where others see statistics, we see people.

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Home Vacancies

1300 727 701

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Acknowledgement of Country

Kanda acknowledges the Traditional Custodians of the land on which we work, live, and come together. We recognise the ongoing connection of Aboriginal Peoples and Torres Strait Islander Peoples to the Land, the Waters, the Flora, and Fauna as well as to Community. We pay respect to Elders of Country past, present, and emerging.

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