This form is for you. If you’d like to refer a revert sister who needs help, you need to use the referral form.

Important: Closing this page without submitting will cancel your application.

1. After submitting the form, you’ll see the confirmation page. Please note that due to privacy reasons, we don’t send a confirmation email.
2. The Support Worker Manager will call you to discuss your needs and allocate you a support worker.
3. Your allocated support worker will make contact and draw up a support plan with you and support will commence.