Accommodation enquiry

Tell us who is looking for a place to live.

This first step is about accommodation and timing. NDIS status and support-provider information are optional and do not determine whether someone may enquire.

Your name

Your relationship

Phone (optional)

Person's first name

Age range

Current suburb or town (optional)

When is accommodation needed?

NDIS funding (optional)

Funded support hours (optional)

Takes regular medication? (optional)

Just yes or no — please do not list medications here. Detailed medication information is collected securely later in the intake process.

Anything else we should know? (optional)

Please do not include detailed medical records, plan documents or identity documents in this initial enquiry.

Privacy collection notice

Christine Court Assisted Living (ABN 30 968 157 298) collects this information to respond to the accommodation enquiry. Required fields are needed so we can identify and contact you; NDIS, support and medication information is optional and helps us explain the service arrangements that could apply.

The form is delivered through Microsoft 365 infrastructure administered in an environment associated with Christine Court and INREACH Supports, a separate related organisation. INREACH is not the enquiry recipient. Technology providers may process limited service data outside Australia.

Read the privacy policy for usual disclosures, overseas processing, access, correction and complaint information.

I confirm I am authorised to make this enquiry. I consent to Christine Court collecting and using the information to respond, including any optional disability, health or support information I choose to provide, as described in the privacy policy.

Required fields are marked with an asterisk.