Apply for Residency

Answer a few short questions so our team can help you explore availability across our homes and guide you toward the right accommodation option.

Who is the enquiry for? *

Myself

Family Member

Someone I Support

Their First Name *

*required so we can add them to our database

Their Last Name *

*required so we can add them to our database

What are their contact details?

(We'll still contact you as the main point of contact but we need their contact details too so we can create them as contact in our database.)

Their Phone Number

*optional

Their Email Address *

*required so we can add them to our database

What is your age? (Or age of the person you're enquiring for) *

Which Location Are you Interested In? *

*Or the location the person you're enquiring for would be most likely interested in

Residency by Dillons has four locations across Australia:

Western Australia:

Fremantle (WA) — Calm, safe home for women with garden club, art classes & regular outings.
Mount Lawley (WA) — Friendly home on a quiet street, veggie garden, verandas & close to cafes.
Narrogin (WA) — Wheatbelt community hub with strong local connections, events & garden spaces.

Queensland (Sunshine Coast region):

Tin Can Bay (QLD) — Peaceful coastal home with serene gardens, library nook & a close-knit community.

What type of accommodation are you interested in? *

Permanent residency

Short-term / respite stay

Not sure yet (please guide me)

*Or type of accomodation the person you're enquiring for would be most likely interested in.

What style of room or accommodation would you prefer? *

Private room

Shared room

Open to recommendations

*Or style of accomodation the person you're enquiring for would be most likely interested in.

How soon are you looking to move? *

In the next 3 months

In the next 6 months

In the next 12 months

Just researching options

*Or if you're applying on behalf of someone, this would be for them

Do you have a MyAged Care Support Plan?

Yes

No

Enter Your Respite / Permanent Referral Code *

Your First Name *

Last Name *

Your contact details

Email *

Phone *

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others.

By submitting this form I agree to receive communications from Residency by Dillons related to my inquiry, such as appointment reminders and account updates.

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🔒 Your information is kept private and is only used to help our team follow up with your enquiry. We do not request medical or sensitive personal details through this form.

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Residency by Dillons provides a range of services for older Australians, including residential care, respite, and dementia services. We work closely with each resident and their family to develop a personalised care plan tailored to their individual needs. Residency by Dillons is located in Western Australia and Queensland

www.residencybydillons.com.au

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