A support coordinator reviewing paperwork with a participant

Referrals

Make a referral.

Referrals can be made by participants, families, guardians, Support Coordinators and allied health professionals. Complete the form below and our team will be in touch.

Call (08) 9317 3161 Email Us

Every referral matters.

Participants

Refer yourself for NDIS disability or mental health support.

Families & Guardians

Refer a family member or someone in your care.

Support Coordinators

Send us participant referrals — we respond promptly.

Health Professionals

GPs, therapists and allied health referrals are welcome.

Referral details

Tell us a little about the participant and the support they're looking for. Fields marked * are required — the rest helps us respond faster.

Participant details

First name *

Last name *

Date of birth

Sex

Phone *

Email *

Address

NDIS details

NDIS number

Plan management

Plan start date

Plan end date

Referrer details

Your role

Your name

Your email

How did you hear about us?

Support needs / notes

By submitting this form you agree to our Privacy Policy and Terms of Use. Please do not include sensitive health information beyond what is needed for us to respond.

What happens next?

1
We review your referral

Our team reviews the details and checks how we can best support the participant.
2
We get in touch

We'll contact you — usually within one business day — to talk through next steps.
3
Support begins

We match the participant with the right support workers and agree on a start date.

Prefer to talk first? Call us on (08) 9317 3161 or email [email protected].