Carefinder Client Enquiry Form

What is the client's name?*

First NameLast Name

Suburb*

Who are you enquiring for?*

You selected 'other', please describe:*

What is your name?*

First NameLast Name

Contact Phone Number*

Contact Email Address

example@example.com

What are you seeking?*

Information about aged care community supportsHelp navigating My Aged Care

How did you hear about COTA Tasmania's Care Finder aged care navigation service?*

What were the main issues that you'd like help or information for?*

Status*

Personal Information Collection Statement

At all times we try to only collect the information we need for the particular function or activity we are carrying out. The main way we collect personal information about you is when you give it to us, or example, personal information such as contact details and support needs. Sometimes we need to collect sensitive information to help us connect you to the right supports. This might include information about your health, needs, circumstances or culture. We only disclose your sensitive information for the purposes for which you gave it to us. We will ask for your consent before we do so.

Carefinder - Client Enquiry Form