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Refer your patients to our complete care team today. We offer the right service, at the right time, in the right place.

As one of Australia's largest providers of complete in home care, we use our experience and breadth of expertise to provide people of all ages with the care they need to remain happy and healthy at home. Our goal is to keep people out of hospital as much as possible, ensuring they receive respectful, professional, comprehensive care, where they are most comfortable.

Chronic Care Coordination Support Service

The Chronic Care Coordination Service is a free service for people living with long term health conditions, coordinating clinical and non-clinical support for people to manage their health and wellbeing.

Referral criteria

Eligible:

  • Ages 18 and over, or 15 and over for Aboriginal and Torres Strait Islanders
  • Has chronic condition/s or complex needs such as asthma, chronic pain, diabetes, cancer, heart or lung disease.
  • Lives in or attends a GP in the following LGAs - Bega Valley, Eurobodalla, Goulburn Mulwaree, Jervis Bay, Kiama, Queanbeyan, Palerang, Shellharbour, Shoalhaven, Snowy Monaro, Upper Lachlan Shire, Wollongong, and Yass Valley.
  • Consents to the service.

Not eligible:

  • where the answer is No to any of the above criteria, or is a:
    - NDIS client whose chronic condition is being managed under NDIS.
    - DVA (Gold) cardholder eligible for care coordination services through DVA.
    - Permanent resident of a residential aged care facility.
    - Medicare ineligible.

Geographical availability

In the LGAs listed above.

Cost

No cost to patient.

Program is funded by COORDINARE - South Eastern NSW Primary Health Network.


How to refer
  1. Check referral eligibility criteria in the referrer information sheet.
  2. Fill out and submit a referral form, one of two ways
    • Search for Silverchain care coordination referral form in your practice software and submit via HealthLInk, EDI: virginia, or
    • Fill out the editable form here and submit via eFax 1300 601 788
  3. For any referral enquiries and to check patient eligibility please 1300 300 122, or email screfferals@silverchain.org.au.
  4. For more information, download our referrer information sheet and client brochure.