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Easecare Forms & Referrals
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Online Forms & Referrals

Securely submit intake assessments, update participant details, or make a referral to Easecare Disability Services. Choose the relevant form below to get started.

Choose a form

What would you like to do?

Pick the option below that matches what you need — each one opens its own quick form.

New participant

Intake Assessment

Starting with Easecare? Complete a short assessment so we can understand your support needs.

Existing participant

Participant Details

Already with us? Update your contact details, plan information or support preferences.

On behalf of someone

Make a Referral

Support coordinator, carer or family member? Refer a participant to Easecare Disability Services.

Tell us how we're doing

Feedback

Share a compliment, concern or suggestion — your feedback helps us improve our service.

Intake Assessment

Tell us about your support needs so our team can get started.

Participant Details

Keep your profile and plan information up to date.

Make a Referral

Refer a participant to Easecare Disability Services.

Feedback

We value your feedback — please fill out the short survey below.

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Reach Out To Us
03 9034 9340 hello@easecare.com.au Unit 2, 64 Bridge Street – Eltham, VIC 3095
Opening Hours
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