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PERSONAL CARE PACK REQUEST FORM

For families needing additional support please also complete our STANDARD REQUEST FORM.

Location and Opening hours:


We are located at:​

Wyong -  43 Howarth Street, Wyong ( next to Vinnies), and open Monday to Friday) between 9am-2pm.

Thornton - 2/28 Glenwood Drive, Thornton, and open Tuesday to Thursday  between 9am-2pm.
Agency Information
Please give as much information as possible so that we can best match items to the needs of the family.

Please let us know as soon as possible if you are unable to collect your Request on your nominated day. Please email or text to 0432 079 213. 

Client Details
Does your client identify as Aboriginal or Torres Strait Islander?
What are the causes of disadvantage for this family?Select all that apply
Items Request

Child 1

Child 1
Please select 1
Please select Girl
Please select Boy

Child 2

Child 2
Child 2 Items
Please select Girl
Please select Boy

Child 3

Child 3
Child 3 items
Please select Girl
Please select Boy
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Do you have additional children requests?

Child 4

Child 4
Child 4 items
Please select Girl
Please select Boy

Child 5

Child 5
Child 5 items
Child 5 G
Please select Boy

Child 6

Child 6
Child 6 items
Please select Girl
Please select Boy
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