i Information and support regarding cancer and COVID-19 Find out more

Home to Treatment Referral Form

Radiation

Support during COVID-19

Cancer Council Queensland values the safety of our employees, volunteers, and especially those living with cancer. We are focused on doing what we can to prevent the spread of COVID-19 in Queensland.

The Home to Treatment service will continue to run with minor changes. We ask that all service users maintain social distancing (approx. 1.5m) between passengers and the driver, and limit the number of passengers wherever possible.

We have increased cleaning measures throughout the vehicle fleet and have provided hand sanitisers for use in all our vehicles.

Please be aware that all bookings are made without guarantee of service. If we cannot provide the service, we will advise you and our service users at the earliest opportunity so that service users can make alternative arrangements.

Home to Treatment

The Home to Treatment service aims to reduce the financial and emotional burden of cancer by providing transport to service users who are facing hardship in accessing their treatment.

These hardships may include:

  • Financial hardship
  • Limited family and social support
  • Inability to self-drive
  • Inability to access public or community transport

The service will transport eligible service users between their home and treatment facility within the Designated Service Area.

Home to Treatment is currently available in the following locations:

  • Brisbane Metro
  • Brisbane North Lakes
  • Cairns
  • Rockhampton
  • Townsville

To access Home to Treatment, a service user needs to be referred by a health professional.

To refer to the service, the health professional must:

  • Have read the Home to Treatment Guidelines and Home to Treatment FAQs
  • Assess the service user as eligible for Home to Treatment
  • Determine the service is suitable and will meet the service user’s needs
  • Obtain the service users consent before referring to the service
  • Complete and submit the online Home to Treatment Referral Form

Once the referral has been submitted and processed, the service user will be contacted by the Cancer Council 13 11 20 Information and Support service to conduct a support assessment and to discuss the service and their transport needs.

At the time of the call, 13 11 20 will provide the service user with the telephone number of their local Home To Treatment service and with information on how to make a booking.

Before completing the referral, please ensure you have read the Home to Treatment Guidelines and FAQ’s to ensure your clients eligibility and if the service is suitable for them

  • Privacy Collection Statement

  • Your Personal Information and your Service User’s Personal Information is being collected by Cancer Council Queensland (ACN 009 784 356) (“Cancer Council”, “we”, “us” or “our”) [www.cancerqld.org.au] to facilitate Transport to Treatment services requested by you for your Service User. Please refer to our Privacy Policy (which is available at the website above or on request by calling 13 11 20) for further details. Our Privacy Policy explains how you can contact us to access and correct your personal information or make a privacy complaint.

  • Referrer Information

  • Service User Information

  • Eligibility

  • If you are experiencing technical issues,
    please email 131120@cancerqld.org.au or call 13 11 20.

  • Once submitted, please wait for the on screen confirmation message.

  • Should be Empty:
Health Professional Cancer Network