SmartyGrants

Emergency Accommodation Service FY24/25

This is a preview of the Emergency Accommodation Service Grant form. When you’re ready to apply, click Fill Out Now to begin.
 

Referral from:

* indicates a required field.

Useful information to help you complete this form:

  • Family requiring accommodation assistance must reside a min of 30kms from GCUH.
  • The patient receiving care must be an emergency admission or transfer.  Assistance requests for Follow up elective surgery or treatment will not be considered unless the patient is re admitted into a critical care unit.
  • Case for support notes must be complete to assess the referral
  • Accommodation assistance is not covered once the patient moves to the ward
  • Requests for extensions must be made weekly via email to the Foundation
  • Decisions to supply accommodation is subject to availability and at the sole discretion of the Gold Coast Hospital Foundation
  • Standard accommodation provided is a single room with 1 Double bed - multiple room accommodation requests will  require a higher family contribution (negotiable with GCHF)
  • Accommodation is provided and reviewed on a week by week basis with a maximum of 4 weeks accommodation provided.
  • All incidentals booked to the Accommodation are the responsibility of the person/s staying in the room

To be completed by an authorised Nurse, Doctor or Social Worker .

Must be an Australian phone number. 
Must be an Australian phone number. 
Must be an email address. 
Must be an Australian phone number. 
Must be an email address.