(07)3448 0052

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Customer Enquiry

(07) 3448 0052

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Apply For an Aged Care Plan


Thank you for choosing CiMaS for helping you manage your Aged Care plan. This page contains our client application for our Aged Care service. All information collected in completely confidential and collected only for the purposes of managing your package.

By submitting this form, you are engaging in a commitment to CiMaS for this package. Upon receiving your application, CiMaS will follow up with you regarding any additional information or payment details we may require.

Aged Care Application

What is your preferred method of contact?

Do you identify as Aboriginal or Torres Strait Islander?

Power of Attorney

Who is authorized to sign documentation?

Do you have an NDIS plan?

Please select which of our services you would like to request.

Please select which type(s) of Continence Assessment you would like to request

Do you have any other service providers involved?

Do you suffer from any of the following conditions?

Do you consume alcohol?

Do you smoke cigarettes / e-cigarettes?

How would you like to follow up on your application?

Client Acceptance and acknowedlgement

Our Office

3 Hamilton St Booval 4304

Contact Details

Call: 3448 0052
E: admin@cimas.net.au
F: (07) 3112 4236