Find a home Arrange a Tour 132 852132 TLC

Application for Residential Aged Care

Applicant information
 
 
Applicant’s representative
Applicant’s personal information
Pension and benefit details
Medicare details
Health insurance details
Ambulance cover
Civic duty
Medical details

If yes, it is essential that your doctor agrees to visit you at TLC Aged Care or provide a locum service to you, outside of normal business hours, in the event of illness or injury.

If no, there are doctors who routinely visit TLC Aged Care residences. You may choose to have one of these doctors as your nominated Medical Practitioner.

Please provide your current General Practitioner’s details:

Emergency contact 1
Emergency contact 2
Legal and financial management details

Please attach a certified true copy of the entire document

Previous aged care residential accommodation details

If yes, please provide the following details:

Click here for details of the TLC Aged Care privacy policy.