This form is designed for participants of the National Disability Insurance Scheme (NDIS). Support Coordinators who wish to refer their clients under the NDIS program should use this form. This form can also be used to refer yourself, or someone you care for, who is accessing NDIS funding.

Note: We are currently unable to accept NDIA managed clients

If you are referring from another practice or profession (e.g. Occupational Therapist , Psychology, Dietetics, GP, Support Work etc.), use this form to provide background information to your referral.

Use this form to refer Medicare clients.

Use this form if you wish to use private/self funding to access our services.