This form is used to refer a revert sister who needs help. If you’re applying for yourself, please use the application form.

When referring someone, you’ll need their consent to submit their information via the 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 the sister to discuss her needs and allocate a support worker.
3. The allocated support worker will make contact and draw up a support plan with her and support will commence.