• Major Modifications Referral Form

    To be completed for Major Home Modification requests over $3,300.00
    Major Modifications Referral Form

  • If you require items to be quoted separately please submit separate referrals for each item.

    • Consumer Details 

    • Consumer Details

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    • Please note to be eligible for CHSP Home Modifications funding consumers need to be registered and have a My Aged Care Referral Code for Home Modifications.

      Please advise consumer to contact My Aged Care (1800 200 422) if they do not have a Home Modifications Referral Code and contact Home Assist Community Services on (07) 4123 2234 with their Code so we can assist them with CHSP funding and avoid delays.

    • Major Modifications CHSP 
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    • Please be advised Builders will need to be QBCC Registered, have public liability insurance, police check and be willing to become registered with Home Assist Community Services. 

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    • *Please note - Video Assessment and OT Proforma are no longer a requirement.

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    • Major Modifications HCP 
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