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FREECALL™
1800 052 222*

 * calls from mobile phones charged at applicable rates

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Registering or Organising Respite with the
Commonwealth Respite and Carelink Centre

The Commonwealth Respite and Carelink Centre has introduced the opportunity for carers to register and/or organise respite in a secure on line environment. The advantage of registering your details on line is you can at any time provide much of the information that our Centre needs to collect from you prior to organising respite.

It is important to read the How We Work Section on the Home page to be informed of what we do with your information, the privacy statement and confidentiality of information.

If RESPITE is NEEDED within the NEXT 7 DAYS

Please Phone Freecall™ 1800 052 222* to organise


THIRD PARTY: (you are NOT the Carer or Care Recipient)
has a further three(3) options in this section, you complete one of these.

Registration Only - where a family member, friend, neighbour, service provider, community service or health professional can register a carer or care recipient with the CRCCFNC

Request for Respite - where a family member, friend, neighbour, service provider, community service or health professional can request respite for a carer or care recipient that is already registered with CRCCFNC

Referral Only - where a service provider, community service or health professional can refer to this Centre on behalf of the carer (whether the carer is registered with CRCCFNC or not)

Please note: the following are the terms used throughout this process

CARER:- is a person who is caring in an unpaid capacity for a family member, friend, neighbour who is frail, aged, has a disability, a chronic, terminal or mental illness.

CARE RECIPIENT:- is a person who is frail, aged, has a disability, a chronic, terminal or mental illness.

CRCCFNC:- is Commonwealth Respite & Carelink Centre Far North Coast

Third Party

CONSENTS

Are you the carer completing this form? (*)
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1. The Commonwealth Respite & Carelink Centre keeps your information on a secure and confidential database.
Do we have your permission to collect and keep this information? (*)
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2. Non identifying information is sent to the Australian Government for statistical and planning purposes.
Do you provide consent for this to happen? (*)
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3. For the purpose of providing the best possible respite we need to provide information about the carer and care recipient to external service provider(s).
Do you provide consent for this to happen? (*)
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This consent is valid for a period of 12 months, however you can withdraw your consent at any time.
Do you have permission from the carer or care recipient to provide confidential information?
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Does the carer or care recipient know you are making a referal to our Centre on their behalf?
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