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independent advocacy townsville

Referral Form

The Advocacy Manager and Advocates meet regularly to review all requests for Advocacy Support. Each application we receive is considered on its own merit and reviewed against the National Disability Advocacy Program's Spectrum of Vulnerability so as to ensure that our resources are appropriately apportioned.

Advocacy Referral Form WORD - PDF

Please Note - Completion of a request for advocacy support does not guarantee that your matter will be one that we can undertake on your behalf, however, should this be the case; all efforts will be undertaken to provide an appropriate referral.

ADVOCACY REFERRAL FORM


SECTION A – DETAILS OF PERSON BEING REFERRED



Is there a Public Guardian Appointed?
If a Public Guardian is in place for service provision, we are unable to provide advocacy without their consent.
Is there a Power of Attorney or Enduring Power of Attorney?
Is the Public Trust appointed for financial management?

SECTION B – DETAILS OF EXTERNAL PARTY MAKING REFERRAL

Does the person know and understand and consent to you making this referral?

SECTION C – Priority Level (Spectrum of Vulnerability)

Please tick the issues that currently exist to assist us in ascertaining the Priority.

    HIGH

    MEDIUM

    LOW

REFERRAL PROCESS

All new referrals are discussed at a Review meeting and prioritisation will be for those deemed to be most vulnerable and most at risk based on the Spectrum of Vulnerability under the National Disability Advocacy Program.
If Independent Advocacy Townsville cannot assist you, we may refer you to an alternative service and/or organisation.

SECTION D – ADVOCACY DETAILS