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About Us
Baldwin Cleaning Services
Baldwin Care and Support Services
Blog
Contact Us
Make A Referral
About Us
Baldwin Cleaning Services
Baldwin Care and Support Services
Blog
Contact Us
About Us
Baldwin Cleaning Services
Baldwin Care and Support Services
Blog
Contact Us
Make A Referral
Blog
Contact Us
Choice and Control: The Everyday Courage of Saying “This Is For Me”
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Why the Right Support Worker Makes All the Difference
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Building Relationships When Living With A Disability
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Make a Referral!
Referrer Details:
Date of Referral:
Agency/Relationship:
Contact Name:
Phone Number:
Email:
Have the family consented to this referral?
Yes they have
No they haven't (please note we can't accept this referral if they haven't consented)
Type of Service:
Cleaning Services
Care & Support Services
Other
Participants Details:
Full Name:
Email:
Date Of Birth:
Address:
Phone Number:
Emergency Contact:
Existing Supports (NDIS or Aged Care)
Plan
Self Managed
NDIS or Aged Care Plan Details:
Plan Manager:
Plan Number:
Plan Dates:
Number of Pets:
Number of People Who Resides In The Property:
Please describe the participants disability or support needs (eg. physical, cognitive or psychosocial):
Are there any known triggers, sensitivities, or environmental factors that we should be aware of to ensure a safe and comfortable support experience? (eg. particular sounds, topics, routines, or environments that may cause distress)
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Do you have any feedback or complaints for us at Baldwin Care Collective?
Add them below and we will be in touch
First Name:
Last Name:
Email:
Phone Number:
Share Your Thoughts or Feedback:
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