Disability Supports and Accommodation

Waitlist

Accommodation Wait List

Complete your details here and we will contact you as soon as a suitable home becomes available.

 

Contact details of person completing the form

Do you have Shared Independent Living (SLI) funding?*

When are you interested in moving into a Shared Independent Living home?*


Family or representative contact details

Primary disability*

Any known behaviour or specific care needs:*


Preferred Location


How did you hear about Royal Rehab?


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