Professional referral form

This form is for professional referrals only; personal referrals will not be responded to.

Professional referrals will receive a response within two business days.

Eligibility criteria

To be eligible for Seniors Rights Victoria (SRV), a person must:

  • Reside in Victoria.
  • Be 60+ years old or 45+ if a First Nations client.
  • Experiencing or at risk of elder abuse.
  • Have at least one legal issue.

SRV is not a crisis service. If you feel someone is in immediate danger please contact 000.

 

Professional referral form

Referrer information


Client details


Client intersections


Perpetrator details


Elder abuse / risk of else abuse & safety


 

If you have any questions, or would like a secondary consultation, please contact SRV (10am-5pm, Mon – Fri). SRV Helpline: 1300 368 821.

Become a member of Seniors Rights Victoria and COTA Victoria today. It's free!

Add your voice to our own, support the rights of older Australians, and take advantage of amazing benefits.

Scroll to Top