Self-manage yourHome Care Package15% of your Home Care Package with no hidden costsEvents_Lead capture"*" indicates required fieldsYour name*Your last name:*Your email:* Enter email Confirm email Your phone number:*Town or suburb:*Postcode:*State:*Please selectACTNSWNTQLDSATASVICWAYour Home Care Package status*Please selectI'm exploring optionsI've spoken to My Aged CareI have a CHSPI've completed an ACAT assessmentI'm on the waitlistI have a referral codeI'm switching providersAdditional information:Email updates I would like to receive updates, event information and invitations from Trilogy Care.This field is hidden when viewing the formLead layoutThis field is hidden when viewing the formlead_attributionThis field is hidden when viewing the formchannel_attributionThis field is hidden when viewing the formurlThis field is hidden when viewing the formembed_urlThis field is hidden when viewing the formChannel Attribution