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Referral form

Get support started

For yourself, your family member, or a participant you support — tell us a little about who needs support. We reply the clear next steps, in writing.

Referral received

Thank you. We have received your referral and will follow up with a clear next step.

Back to home

Takes about three minutes — only the fields marked * are required. Prefer to talk? Call (02) 7265 1558.

About you

Who’s making this referral?

One tap — that’s the whole first step. Prefer to talk? Call (02) 7265 1558.

How do we reach you?

We confirm receipt and explain the next step for every referral.

Who’s the support for?

Just a first name and a suburb — details can come later.

About the participant

Last step — send it off

NDIS details are 100% optional — add them if they’re handy, or just send. We can sort the rest over the phone.

Add NDIS details — optional, helps us respond faster

Used only to confirm the plan is active and funded for the service needed.

No NDIS details? No problem — nothing else is required.