Initial referral enquiry

Help someone take the next step.

Family members, carers, guardians, advocates and support coordinators can make an initial enquiry about one of Wantok Care’s confirmed services.

Initial referral enquiry form

Please do not include diagnoses, NDIS numbers, plan details, medical records or other sensitive personal information in this form. This form does not accept file uploads.

Your name

Your role

Organisation (optional, if relevant)

Preferred contact method

Email Phone call

Requested service

Suburb or postcode

General enquiry details (optional)

I confirm I have the person’s consent or appropriate authority to make this enquiry on their behalf.

Privacy notice

Referral details are used only to respond to this enquiry. They are stored securely on this website’s own protected system and can only be opened by Wantok Care’s owner after signing in — never publicly visible or shared with anyone else. Once email delivery is set up for wantokcare.com.au, a copy of these referral details is also emailed to Wantok Care’s own inbox (anna@wantokcare.com.au) and to no one else. Records are kept for seven years and then deleted. Nothing you type is saved in your browser, and this website uses no tracking, analytics, advertising or session-recording tools.

I have read this privacy notice and agree to Wantok Care using these details to respond to this enquiry.