SA Community Care referral forms
Forms for SA Community Care are available below
Referral forms — Print only
Printable forms that are to be printed and filled in by hand. These forms can be either faxed or emailed to the MRU.
- Adult referral print form (PDF 128KB)
- Paediatric referral print form (PDF 124KB)
- Continence device change print form (PDF 119KB)
- Palliative Care referral form print form (PDF 123KB)
Referral forms — Online form
The forms are downloadable PDFs that are designed to be completed electronically. You can only submit these by email to the Metropolitan Referral Unit (MRU).
- Adult referral form (PDF 1066KB)
- Paediatric referral form (PDF 1093KB)
- Continence device change form (PDF 1054KB)
- Palliative Care referral form (PDF 1075KB)
Supplemental forms — Print only
Printable forms that are to be printed and filled in by hand. These forms can be either faxed or emailed to the MRU. Please send the supplemental forms to your referral form when submitting by either fax or email.
- Medication authorities:
- Mental health risk assessment (PDF 91KB)
Referral process
The MRU is the single point of entry into SA Community Care and manages all referrals into the program.
The MRU is open between 8:00 am and 8:00 pm, seven days a week including public holidays.
Referrals can be submitted anytime via email or fax and the overnight referrals are triaged each morning. A clinician at the MRU will assess the patient’s eligibility for SA Community Care and confirm their admission or suggest more suitable alternative services.
Please note that the program is not an emergency response and usual processes for emergency care should be followed.
Contact
Referrals are accepted by email, fax or telephone.
Please send the completed form to the email address or fax number below.
Email: Health.MRU@sa.gov.au
Fax: 1300 546 104
Telephone: 1300 110 600