Elsy Referral Form

By submitting this referral form, you confirm that you have the authority to provide the information contained in this referral and that the person being referred (or their legal guardian/nominee) has consented to their personal information being shared for this purpose. Elsy collects personal information through this form to assess your referral and determine our capacity to provide appropriate supports. All information is handled in accordance with the Australian Privacy Act 1988 (Privacy Act) and will only be used or disclosed for purposes related to the delivery or assessment of supports. For more information, please refer to our Privacy Policy.