Please complete this form if you are self-referring or are referring on behalf of an NDIS Participant.

Please complete this form if you are referring a client who is not NDIS funded.

If you are an NDIS Participant, you will need to complete this Service Agreement prior to scheduling your initial appointment with us.

Prior to completing this form, it will be helpful to have a copy of the front and back of your Driver’s Licence and a TMR Medical Certificate (if you have an ‘M’ condition on your Driver’s Licence or if you have a medically suspended Driver’s Licence) to upload to this form.