Make a Referral
Refer yourself or someone you support to Clarity Care. We acknowledge every referral within 24 hours and contact the participant within 48.
Make a referral
Refer yourself, or refer someone you support. The form takes about five minutes. You do not need to have every detail ready — we will follow up on anything missing.
What happens next
- Within 24 hours
We acknowledge your referral by phone or email. - Within 48 hours
We contact the participant to arrange a free, no-obligation conversation. - Ongoing
If you are a referrer, you get regular updates — with the participant’s consent.
Would rather talk to a person?
Call 0410 560 769, Monday to Friday, 9:00am – 4:30pm. We will take the details over the phone.
Support hours are not office hours. Our office is open on weekdays, but support shifts can be rostered evenings, weekends and overnight by arrangement.
Referral form
Trouble with the form? Call 0410 560 769 or email info@claritycare.com.au and we will take your details over the phone.
What we need from you
The more of this you can give us up front, the faster we can get moving. None of it is compulsory.
About the participant
- Name and contact details
- Best way and time to make contact
- Any communication needs or preferences
- Who else should we talk to
About the funding
- NDIS, DVA or private
- How the plan is managed
- Plan dates, if you know them
- Which supports are funded
About the support needed
- What is happening right now
- What the participant wants to change
- Any risks we should know about
- How urgent this is
Why support coordinators refer to us
- AHPRA-registered clinical leadership. Registered nurses and mental health professionals supervise the work, not just coordinate it.
- 24-hour response to every referral. You are not left wondering whether it landed.
- Monthly progress reports. Written to meet clinical governance and NDIS reporting requirements.
- Complex psychosocial presentations welcome. Dual diagnosis, behaviours of concern, and participants other providers have declined.
- Small caseloads. Continuity of staff, which matters more than almost anything else in this work.
- Mandurah, Peel, South West and Perth South. Including the regional towns most providers will not travel to.
Questions before you refer? Call 0410 560 769 and ask for the intake team.
Your privacy
The information in this form includes health information, which the law treats as especially sensitive. We collect it so we can assess whether we can help and arrange the right support.
We only share it with people who need it to provide your support, and we ask for your consent before we share it with anyone else — including the person who referred you.
You can ask us what we hold about you, ask us to correct it, or ask us to delete it. Read our privacy policy or call and ask.
Not sure where to start?
Tell us what is going on and we will talk you through the options — including telling you honestly if we are not the right fit.