Disability Supports and Accommodation


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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