Spam protection, skip this field Full Name* Email Address* Location* National Metro Regional Remote Very Remote Name of Organisation (optional) Am I an aged care provider?* Select Yes No Types of Aged Care (optional) Residential care in aged care (nursing) homes Short-term care (after-hospital or transition care, short term restorative care or respite care) Home Care Packages Commonwealth Home Support Programme Membership (optional) ACSA LASA Type of pledge* Please select Leadership Pledge (Aged Care Provider) Statement of Support (Provider Peak Organisation) Statement of Support (Workers and Workers Organisations) Statement of Support (Consumers and Consumers Organisations) Statement of Support (Individuals) My authority to pledge* Select CEO/ Managing Director/ General Manager/Head of organisation Individual Leadership Pledge (Aged Care Provider)* We pledge to uphold the Aged Care Voluntary Industry Code of Practice and will uphold its principles. We pledge to keep older Australians at the heart of care decisions and services. Statement of Support (Provider Peak Organisation)* I support the Aged Care Voluntary Industry Code of Practice and aged care providers delivering quality, safe and consistent care services for older Australians. Statement of Support (Aged Care Workers)* As a worker in the aged care sector, I support and commit to delivering aged care services in support of the Aged Care Voluntary Industry Code of Practice. Statement of Support (Aged Care Consumer Organisation)* I support the Aged Care Voluntary Industry Code of Practice and aged care providers delivering quality, safe and consistent care services for older Australians. If you are a provider and have taken the pledge to commit to the code or are supporting the code, please email your company logo to, VICOPfeedback@acwic.com.au Save draft
