Phone: (613) 94550822
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Community Home Based Palliative Care Service
 
How to Refer A Client?
 

Anyone can make a referral, providing the person requiring the care, agrees.  Please telephone us or download a referral form.

Eligibility

Banksia’s services are available to clients of all ages who have a progressive terminal illness and are living in the Cities of Banyule, Whittlesea and the Shire of Nillumbik.  Care and support is offered to the whole family. Clients can be discharged or readmitted as appropriate.

Cost

The services offered by Banksia are at no cost to clients within our service area. There may be associated costs depending on your individual needs, for example Royal District Nursing Services and some equipment costs. 

Banksia can help to facilitate the supply of equipment via a hire company, however, Banksia does not directly supply equipment to clients.   Unfortunately, Banksia cannot receive disused equipment from clients or families.


 
 
 
 
 
How To Make A Referral
 
(1)  Contact Banksia and ask for the INTAKE WORKER to discuss your referral. Phone 03 94569744
 

(2)  Download and complete Referral Forms

There are (4) four forms that are to be completed for Banksias' Referral Process.  The following documents are available for downloading in PDF format.

  1. Confidential Summary and Referral Information Sheet
  2. Palliative Care Clinical Referral Forms
  3. Referral Cover Sheet
  4. Referral Consumer Information Sheet

PLEASE CLICK ON THIS LINK TO DOWNLOAD

FORMS TO BE COMPLETED

 

(3)  Fax Referral Forms to Banksia

on 03 94553599


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