Allure Care
Referrals

Let's start the journey together.

Refer yourself, a family member or a client. Reach out and we'll be in touch within one business day.

1

Your details

The person making the referral.

e.g. Support coordinator, parent, self

2

Participant details

The person who will receive supports.

3

Support coordinator

Optional — fill in if applicable.

4

Supports needed

Tick all that apply.

5

Risk or behaviour notes

Optional — share anything our team should know to keep everyone safe (medical alerts, behaviours of concern, environmental risks).

6

How should we get in touch?