Anyone can make a palliative care referral, providing the person receiving the care agrees.
The person receiving care must be:
If your case is urgent, please contact our Referral Coordinator on 03 9486 2666.
On the online referral portal, you will need to provide personal and medical information about the client.
Please complete as many fields as possible as this will assist us in assessing your needs accurately.
Mandatory fields must be completed.
This information is needed for clinician referrals and will ensure that your submission is processed quickly.
If you receive this information after submission, these documents can be faxed to 03 9482 5094.
Melbourne City Mission’s Palliative Care services are provided at no cost to clients who live in the Hume, Moreland, Darebin and Yarra local government areas.