Attached is an advocacy referral form for AMIDA. This form is
designed to be used by organisations and service providers wishing to refer a person
with a disability to the service. Individuals with a disability and carers can
still seek the assistance of an advocate by contacting us directly. The aim of
this referral system is to ensure that we assist clients with the most urgent
needs first.
After a
referral is received we will prioritise the matter and contact the client and
the referrer giving an indication of how long before an advocate can contact
the client.
It will help
us a great deal if you can complete the attached referral form and add any additional information that will help us to quickly
understand the issues involved. If you have
any questions feel free to contact our advocates or try our web site amida.infoxchange.net.au
About the advocacy services we
provide:
ADVOCACY = “
‘standing by’ someone, or ‘speaking out’ for someone’s rights, or ‘going into
bat for another person --being ‘on their side’, especially when the chips are
down.”
Who is the
Advocacy Service for?
AMIDA’s
advocacy services are for people with any type of disability although the
majority of AMIDA’s experience is in working with people with an intellectual
disability.
Area Covered?
The service is
funded for individual, systemic and self advocacy in
fax 03 9654 8575.
AMIDA services are :
·
Directly advocating on behalf of a person or
providing information and advice so that a person can advocate for themselves (eg dealing with a landlord, negotiating a better deal from a government
department, dealing with an accommodation and/or support provider)
·
Linking a person with other relevant services (eg helping a person get legal advice from a
solicitor).
·
Talking over a problem (eg Sometimes we can best help by simply listening and helping to think
through options for moving forward)
·
Supporting an individual to take formal action on
matters related to disability discrimination or making a complaint against a
service provider (eg assisting a person
to make a complaint with the Victorian Equal Opportunity and Human Rights
Commission).
AMIDA
works to get improved housing conditions and housing choices for people with a
disability. We believe people with a disability should have the right to live
in the community and have the support they need to participate in the community
as they want. AMIDA works at a systemic
level on issues that affect groups of people with a disability to try and bring
about positive change and improve their quality of life.
To Find out more: Phone, email, fax or write to find out if we can be
of assistance. Alternatively try our web site www.amida.infoxchange.net.au for
more details about AMIDA.
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Has the person you are referring
used the service before? |
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Client’s surname |
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Client’s first name |
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Phone (e-mail/fax ?) |
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Address (include Post Code) |
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Date
of birth |
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Disability? (What type of disability does the person have?) |
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Cultural background? (e.g. non-English speaking background,
Aboriginal, English speaking background) |
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Contact person/Carer? (If applicable, is there a family member,
friend, carer that the service should know about?) |
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Referring agency/person (*Referring person & agency’s name, phone, email, fax,
address) |
Address/email |
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Summarise the main issues – (add extra pages if necessary) (List any information that the service needs to know to assist the
client? The more relevant information
we know the quicker the referral can be dealt with) |
**** Has the client given permission for AMIDA to contact
them? Yes/No |
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What outcome does the client want?
(How would
they like an advocate to help?) |
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How urgent is the matter?
(Is there
upcoming events that the service needs to know about eg legal proceedings,
eviction, appointments, deadlines etc?) |
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Send to amida@infoxchange.net.au
, (or fax 03 9654 8575, post 1st Floor Ross House 247 Flinders Lane
Melbourne
AMIDA gratefully
acknowledges Mark Grierson of Disability Advocacy for developing this
information and allowing us to use and modify it.