• Online Referral Form

    Saltbush, Balnarring Beach is a not-for-profit charitable organisation. We provide holidays, retreats and programs to people experiencing hardship. We also welcome community and school groups. Most guests are referred by community service organisations, funded by the NDIS, or are connected to Saltbush through a hospital or school. This ensures that our guests are genuinely in need. Saltbush is not equipped to provide intensive support to guests. Guests must be accompanied by a carer if they require day to day support. Saltbush is a holiday service and does not provide crisis accommmodation.

    This form can be completed by community service organisations, hospital, schools, and individuals.

  • Referrers Details

  • Person/Family/Group Referral

  • Reason for Referral (tick all that apply to the person/people being referred):
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • If you’re ready to provide guest details, please complete the information here:

  • Guest 1
  • Guest 2