Application Forms

​​​​AIC Long Term Scheme Application Form​
Use this form to apply for PioneerDAS, Home Caregiving Grant, FDW Levy Concession​​, ElderFund, and IDAP​E​.​

Means-Test Declaration​​
This form is used for patients/cli​ents to undergo household means-testing for the purpose of application for various government subsidy schemes including: Community Health Assist Scheme (CHAS); Seniors' Mobility and Enabling Fund (SMF); Interim Disability Assistance Programme for the Elderly (IDAPE); Intermediate and Long Term Care (ILTC), Eldercare and Disability Subsidies​.​​

​Caregivers Training Gra​nt (CTG)
Use this form to apply for CTG​ ​and get subsidies for approved CTG courses.

Community Health Assist Sch​eme (CHAS)
Access the CHAS a​pplication form here.

​​Seniors' Mobility and E​nabling Fund (SMF)​​
Download this form to apply for SMF subsidies for assistive devices.

​​​​Go Respite Pre-Enrolment​
​​Use this form to register your interest for respite care.​

​​[NEW!] ​​Go Respite Pre-Enrolment​
​​Use this *online application form*​ to register your interest for respite care.​

​​​​Centre-Based Respite Care​
Use this form to apply for respite care at a Day Care centre.​

Night Respite​​​
Use this form to apply for Night Respite services.