HomeNDIS referrals

The first step starts with you.

Make a referral for Supported Independent Living, Community Access, Occupational Therapy or Behaviour Support.

Here to help

Tell us what matters.

Participants, families, nominees, support coordinators and health professionals can use this form.

Choose the service and outline the participant’s goals.
Provide a contact person authorised to discuss the referral.
We review the request and discuss the next steps.

Service availability, location, funding arrangements and suitability are confirmed during intake.

Please share only what is needed for this initial enquiry. You do not need to provide identity documents, clinical reports or your full NDIS plan here.

NDIS referral

Fields marked * are required. Provide either an email or phone number.

Leave this empty

1. Participant & requested support

Participant’s full name *

Participant’s suburb & postcode *

Service requested *

Plan management *

NDIS number (optional)

Preferred start date (optional)

2. Person making the referral

Your full name *

Email address

Phone number

Relationship to participant *

Preferred contact method *

3. Goals & preferences

What support is needed? *

Communication or accessibility preferences (optional)

I am the participant or have their consent or lawful authority to make this referral and share these details. I agree that Passion Services Care may use this information to respond to and manage this referral, as described in Privacy & your information. *