Make a Referral

Refer a participant to Lift & Live Support. We will follow up within one business day.

Referral Form

Please fill in as much detail as possible. All information is kept strictly confidential.

👤 Your Details (Referrer)

🧑 Participant Details

📋 Who Can Refer?

  • ✓ Support coordinators
  • ✓ LACs and planners
  • ✓ Family members or carers
  • ✓ Allied health professionals
  • ✓ Participants self-referring
  • ✓ Hospital discharge teams

⚡ What Happens Next?

1. We contact the participant within 1 business day
2. We complete a free needs assessment
3. We match them with the right support worker
4. Supports begin on their schedule

📞 Prefer to Call?

0416 100 797

Mon–Fri 9am–5pm

info@liftandlive.com.au