Referring Clients to Alpha Nursing

Alpha Nursing accepts referrals from any healthcare organisation for clients who would benefit or require care in the home to maintain independence or interventions for complex care needs.

We can assist clients with Appointment Escorts, Hospital in the Home, Wound care and Light Domestic Duties.

Alpha accepts referrals for clients who are funded by the Hospital, DVA, NDIS, A Care Package Provider or from clients who are funding their own care. More information about submitting your referral and forms can be found on this page.

Submitting your referral

You can submit your referral using any of the methods below. Please contact us on 1300 493 608 if you have any questions regarding your referral.



You can refer online by completing the online form located at the bottom of this page



Please email referral and any supporting documents to



You can fax your referral and supporting documents to (03) 9331 7519



Referring clients to Alpha Nursing

The following form can be used to make a referral to Alpha Nursing

Referral to Alpha Nursing Form.pdf

Home Care Client Handbook

The home care client handbook outlines Alpha Nursing's home care service

Home Care Client Handbook.pdf

Online Referral Form

Referrer Details

Please indicate if you would like a referral receipt: Fax Email Phone Not Required 

Patient/Client Details

Funding Provider

Please choose the funding provider: Hospital Self-Funded DVA NDIS Care Package Provider TAC WorkCover 

Claim number for TAC/WorkCover referrals:

Medical History

This section must be completed

Service Requirements

This section must be completed

Service Type Start Date Frequency Duration Describe Care
Home Help 

Please note that a minimum of 7 days of dressings are to be sent home with client

File Upload

Please upload your supporting documentation in a single pdf, word or excel format (max 10mb) or email to


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