Online Form - I Need Help

We understand that there are many people living independently who may not have family or friends nearby to help them during this challenging time. 

Please complete your details below and we'll be in contact shortly. Alternatively, you can also click here to download the printed version. Printed copies have also been made available across the community for those without internet access.

The COVID Heart Initiative is a partnership between the Shire of Dandaragan, Jurien Bay Community Resource Centre and Dandaragan Community Resource Centre.


If you are self-isolating due to COVID-19, how can someone help you?*

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