Make a referral

Anyone can make a referral, including participants, families, Local Area Coordinators (LACs), hospital staff, allied health professionals and plan managers.

Referral form

There are 3 short steps. If you would rather talk, call 0450 879 346.

This form is not for emergencies. If someone is in danger, call 000.

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Step 1 of 3: About the participant
Participant's name (required)
Participant's phone
Participant's email
Step 2 of 3: The participant's NDIS plan
How the plan is managed, and the support needed
NDIS number
If you know it. It has 9 digits.
How is the plan managed? (required)
NDIA managed means the National Disability Insurance Agency pays the providers.
What support is needed? (required)
For example, finding new providers or getting ready for a plan review.
Step 3 of 3: Your details
Your contact details and consent
Your name (required)
Your role
For example, Local Area Coordinator (LAC), hospital social worker, family member or participant
How can we reach you?
Give us a phone number, an email address or both.
Your phone
Your email
The participant agrees to this referral, or I am the participant (required)
Read how we collect and use this information in our privacy policy (opens in a new tab).

What happens next

1
We get back to you
Our team reads your referral and contacts you.
2
Meet your support coordinator
We get to know you and listen first.
3
Get your supports in place
We find providers that suit you and set up your supports.
4
Build your independence
We check in, make changes when needed and help you get ready for each plan review.

Make a referral

Referral form

Step 1 of 3: About the participant

Step 2 of 3: The participant's NDIS plan

Step 3 of 3: Your details

What happens next

We get back to you

Meet your support coordinator

Get your supports in place

Build your independence