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24 Hour 7 Day a Week Online Referral Service


Do you have a client or patient that needs to be placed into care or requires private case management?

We will respond to your request within 24 hours. If you require a more urgent response we will be in contact within 2 hours.

Please fill out the following form:

1. Please select one of the following options: *
Quote for a service
Please Proceed with care and keep me informed
Please Contact Family about haaa services & how haaa can help
How can haaa help me with this case?

2. Your details:
Organisation/Your name: *
How do you prefer to be contacted: *
(e.g. phone, email, mail, etc...)
Relationship/Association with the person
your are enquiring or referring: *

3. Referral details:

Is this case urgent? *
Yes and reason:
(We will respond within 2 hour or call 1300 784 781 now)

Case Brief: *
Ideal Outcome: *
Before you click the submit button, please make sure you have entered your contact details, e.g., Phone number and email address etc.
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