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Job seeker referral information

Date of Birth*

Is the job seeker an Australian citizen or hold a safe haven visa? (Please note those people holding student visas are not eligible for our service)*

Does the job seeker have a disability, injury or health condition?*

What is the job seekers current employment situation?*

Is the job seeker currently receiving Department of Human Service benefits?*

Medical and current situation

Does the job seeker have an ITO? (Involuntaty Treatment Order?)*

Does the client have a forensic order in place?*

Does the job seeker have a formal guardian?*

Has the job seeker provided consent for this refferal?*

Please select all the relevant reasons why your patient is needing support in their current employment or search for employment*

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