Online Referral Form

We'll walk you through the referral step by step.

Have the following ready:

  • Client's name, date of birth, and address
  • Next of kin or emergency contact
  • Brief medical history or reason for referral
  • Funding details (NDIS number, plan manager, etc.)

Referring for a driving assessment? You'll also need the client's licence number and expiry.

NDIS-funded clients? Have the billing type (self-managed or plan manager details) ready.

This form takes approximately 5–10 minutes to complete.