Become a Client
Please fill and submit the form to register as a client with Community Wheels

Check your eligibility
Before you fill this form, please check you eligibility for community transport. We provide subsidised transport for people over 65 years (50 for Aboriginal and Torres Strait Islanders) living in Parramatta & Cumberland LGAs, who are referred through My Aged Care. To register with My Aged Care, call 1800 200 422 or visit

Preparer Details
Personal details of the new client
Medicare, Pension and Other Details
Mobility Details
example - walking stick, wheelchair, etc.
Medical Conditions
example - arthritis, knee or hip replacement, etc.
Emergency Contact Details