Carer Gateway Registration

No matter what your caring role looks like, Carer Gateway is here to help.

If you are a carer and would like more information about Wellways Carer Gateway and the free support and services available to you, please complete the short enquiry registration form below. Once received our helpful and friendly team will reach out via your preferred contact channel.

If you are in need of emergency care respite, please call 1800 422 737, available 24 hours a day, 7 days a week.

Referred by *

Carer's Name*

Carer's Surname*

Phone Number*

Email*

Preferred contact method*

Street Address*

City*

Postcode*

State*

Date of Birth*

Gender Identity*

Do you identify as LGBTQIA+*

Are you of Aboriginal and/or Torres Strait Islander origin*

Country of Birth*

Primary Language Spoken*

Relationship to Care Recipient*

Care Recipient's Name*

Care Recipient's Date of Birth*

Care Recipient's Disability/Diagnosis*

Please provide a brief description of your caring role *

Emergency Contact Name*

Emergency Contact Phone Number*

Relationship to Carer*

Do you have barriers in communicating via phone, and need face-face communication? Please provide details? *

Contact Us

Call: 1800 422 737
Visit: carergateway.gov.au

Carer Gateway is a national service funded by the Australian Government.

Wellways acknowledges Aboriginal and Torres Strait Islander People as the traditional owners and custodians of the land on which we live, work and play and pays respect to their Elders past and present.

We are committed to inclusive communities, workplaces, policies and services for people of all backgrounds, genders, sexualities, cultures, bodies and abilities.

We can arrange interpreter services for most languages.