CASACV is committed to integrity, safety, respect, and empowerment for all our clients and stakeholders, and we want to ensure that information, support and knowledge are available to clients from the commencement of contact with our service. We value consent and transparency and believe this is integral to the service we provide and should be sought and understood at the first contact with our service. Consenting to a referral with CASACV means that we will safely store information and we will always uphold privacy. Information collected in this referral will be used to determine eligibility so please provide as much information as possible.
If you have questions prior to submitting this referral, please contact CASACV on 5441 0430 and we will assist you.
If you run out of time to complete the form, use the "Save Form and Complete Later" link at the bottom to generate a unique link that you can email to yourself to return and then complete it.
If the client is at serious or elevated risk of family violence, they may not be eligible for CASACV at this time. Please contact The Orange Door on 1800 512 359 as this service may be more appropriate.
T. 03 5441 0430 E. casacv@casacv.org.au
Find us at the MDC 71 Bridge St Bendigo Vic 3350
