A Professional Organising and Decluttering Service in Geelong, Victoria

    Date of Referral:

    Client's Details




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    Referrer Details







    Is funding received through any of the following?

    NDISHome Care PackageDVA (Dept of Veteran Affairs)DFFS (Dept of Family, Fairness and Housing)Other

    If NDIS Participant:

    Plan ManagedSelf-Managed



    Areas of concern:

    KitchenBathroom/sToilet/sVacuuming and mopping floorsDustingLaundryOther

    Frequency of cleaning:

    WeeklyFornightlyMonthlyOther

    Preferred Day:

    MondayTuesdayWednesdayThursdayFriday

    Preferred Time:

    MorningAfternoon

    Additional Notes: