Useful Forms

  • Client Referral for Remedy Services

    Refer clients for Remedy programs and services. Download a PDF copy of our referral form to your PC desktop. Complete the form in Adobe Acrobat and submit via email. Alternatively print, complete and scan and send via fax (1300 734 221) or email to

    Download Form

  • Eligible Health Funds

    Remedy Healthcare programs are offered by over 35 private health insurance funds, in addition to other available funding options. Download an up-to-date PDF document of our funding options here.

    Download List

  • Medication Administration Chart

    This medication chart should be completed by the client’s healthcare professional.

    Download Form

  • Hospital Care @ Home - Discharge Checklist

    Download our handy checklist to help make the referral process more simple.

    Download Form

  • Catheter Management

    Medical letter of Authority – Catheter management

    Download Form

Online Referral Form

Use the below form to refer clients into Remedy Healthcare programs and services. If you have any questions please call our care coordination team on 1300 734 224 for assistance.

Call us on 1300 224 334