Make a Referral

You can refer to Dementia Support Australia by using the online referral form below.

Alternatively, you can make a referral by phone on 1800 699 799 or by fax on 1800 921 223.

DSA is experiencing an increase in referrals to the DBMAS program. Please be reassured that phone support will be provided to any client while awaiting a DBMAS visit. We welcome the announcement of additional funding for the DBMAS program to increase the service capacity. This will support DSA in the service expectation of receiving a DBMAS visit within 1 week. The SBRT service does not operate a waiting list for visits and is unaffected. Please contact us with any questions.

If you are experiencing a medical emergency, please call 000.


If you are referring to the Specialist Dementia Care Program, please note that referrals are only open for the North Perth Primary Health Network as part of the Brightwater Specialist Dementia Care Program Prototype. The Department of Health will advise when referrals are open in your area.