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Residential Aged Care Initial Enquiry
Please enter as much information as possible so that we can find the right home for you or your loved one.
Contact Information
Name of potential customer looking for Residential Aged Care
(Required)
First Name
Last Name
Next of kin contact person
(Required)
Next of Kin First Name
Next of Kin Last Name
Phone
(Required)
Email
(Required)
Your Aged Care Home Needs
Length of Care
(Required)
Permanent, long term care
Respite, short term care
Unsure
Urgency
(Required)
Looking for a home within the next three months
I have more time and may need a home three months or longer away
Unsure, I am just exploring opportunities at this stage
ACAT referral code
If you have received an assessment from the Aged Care Assessment Team please enter details here
Accommodation Care Needs
(Required)
General accomodation
Accommodation that provides dementia enabled support
Not Sure
Please let us know which homes you are interested in
Homes located in Perth Metro area:
Annesley, Bentley
Carramar, Morley
Chrystal Halliday, Karrinyup
City of Bayswater, Embleton
Cygnet, Bentley
Elimatta, Menora
Ella Williams, Noranda
Hayloft, Martin
Hilltop, Bentley
John Bryant, Marangaroo
Riverslea, Mount Lawley
Sarah Hardey, Kelmscott
St David's, Mount Lawley
Trinity, Bentley
Not sure
Please tick which homes you may be interested in
Homes located in Regional WA
Bethavon, Northam
Bethshan, Katanning
Gerdewoonem, Kununurra
Gwardri Ngadu, Fitzroy Crossing
Hillcrest, Geraldton
Korumup, Albany
Numbara Nunga, Derby
The Residency, Northam
Waratah Lodge, Wagin
Not sure
Please let us know which homes you are interested in
Is there anything else you would like us to know?
Juniper Staff Member recording enquiry
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A Place To Call Home
Residential Aged Care
Locations
Fees
How it Works
How to Apply
Current Customers
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Locations
Available Properties
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How it Works
Transition Care Program
Support In Your Home
Home Care
Support Services
Fees
How it Works
How to Apply
Support at Home
Home Care Packages
CHSP
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1300 313 000
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1300 313 000