Make a referral
Make a referral

DVA referral

For veterans and their families with a Veteran Card and a referral from their doctor.

DVA referralChange funding
Before you start
  • It takes about 5 minutes. Questions are required unless they say "(optional)".
  • It helps to have handy: their DVA file number; which Veteran Card they have; the doctor's referral (usually a D904), if you have it.
  • Prefer to talk? Call 0479 077 723 or email info@greaterhealth.au, Monday to Friday, 8:30am to 5pm.

Doctors: no form needed. Email your referral letter to info@greaterhealth.au and we'll take it from there.

Different funding? Choose another referral form.

Step 1 of 6 About you

Who is filling in this form?

Only if you're referring someone else.

For example, daughter, partner or guardian.

Only for family members, carers and guardians.

For example, support coordinator or physiotherapist.

Only for professionals and others referring someone.

Only for professionals and others referring someone.

We'll reply to this address.

Only if you're referring someone else.

Only if you're referring someone else.

Step 2 of 6 The person

Their date of birth

For example, 27 3 1984

Helps us plan home visits.

If so, tell us which language.

Who should we contact to arrange sessions?

Only if you're referring someone else.

Only if you chose "Someone else" above.

For example, parent or guardian.

Only if you chose "Someone else" above.

Only if you chose "Someone else" above.

Only if you chose "Someone else" above.

Best way to get in touch (optional)

Step 3 of 6 Veterans' Affairs

Shown on their Veteran Card.

Which Veteran Card do they have?

Only if you chose "Veteran Card: Specific Conditions (White)" above.

Do you have the referral from their doctor?

Usually a D904 referral form.

Step 4 of 6 Health and goals

For example, their main conditions, a recent surgery, or what's getting harder day to day.

In their own words, if you can.

Anything we should know to keep sessions safe? (optional)

Select all that apply.

For example, pets, stairs, parking or access.

Step 5 of 6 Sessions and documents

Where would they like sessions? (optional)

Select all that apply.

How often? (optional)
Session length (optional)

For example, the D904 referral from their doctor. PDF, Word, JPG, PNG or HEIC, up to 4 MB in total. Larger files? Email them to info@greaterhealth.au.

Step 6 of 6 Check and send

How we use these details

Greater Health collects these details, including health information, to assess the referral, contact the person or their contact person, plan safe sessions and claim funding. We only share them with people involved in their care or funding, such as their GP or referrer, their plan manager or the NDIA, their Support at Home provider, Medicare, DVA, TAC or WorkSafe. If key details are missing, we may not be able to accept the referral.

Your referral is emailed to info@greaterhealth.au and isn't stored on this website. Our privacy policy explains how to see or correct this information, how it's kept, and how to make a complaint.

Let's start with your goal.

No pressure, and we reply within 1 to 2 business days.

For you or someone you care for

Book a free 10-minute chat

A quick, friendly chat about your goals and how we can help.

Book a free 10-min chat or call 0479 077 723

For support coordinators and health professionals

Make a referral

Forms for every funding type, in one place, ready to share with your clients.

GPs don't need a form: simply email a referral letter to info@greaterhealth.au.

Make a referral