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Support coordination
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Make a referral

For support coordinators, plan managers, health professionals and families

Make a referral

Four short steps, about 5 minutes. We’ll confirm we’ve received your referral within 1 business day and keep you updated.

1. Your details
2. Participant
3. NDIS plan
4. Supports and consent

Step 1 of 4

About you (the referrer)

Referral received. Thank you.

Our intake team will contact you within 1 business day to talk through next steps. If it’s urgent, call us on 0485 001 730.

Your full name (required)

Organisation (if applicable)

Your role (required)

Phone (required)

Email (required)

First name (required)

Last name (required)

Date of birth (required)

Phone

Home address

Postcode (required)

Who should we contact first?For example the participant, a family member or guardian. Include their name and phone number.

Interpreter needed?

Language (if an interpreter is needed)

Disability and support needs (optional)A short summary is fine. You can attach reports in step 3.

NDIS number (required)

Plan start date

Plan end date

How is the plan managed? (required)

Plan manager name (if plan-managed)

Plan manager email (if plan-managed)

Attach the NDIS plan or service agreement (optional)PDF, Word or photo, up to 10 MB.

Attach a report (optional)For example a therapy, OT or risk report.

Supports requested (choose any)Everyday living and personal careCommunity and social activitiesShared living or SDAHome modifications or equipmentWork or studyTherapy (including speech therapy)Plan managementSupport coordinationNot sure yet

Hours or frequency needed

Preferred start date

Anything our team should know? (optional)For example risks, behaviour support, medical needs, worker gender preference or cultural needs.

Consent (required). The participant, or their guardian or nominee, has agreed to this referral and to Vision Care Disability contacting them.We handle personal information under the Privacy Act 1988 (Cth).

Your answers stay on this page until you send them.

Have these ready

Participant’s NDIS number
Plan start and end dates
How the plan is managed
Plan manager details, if plan-managed
Any relevant reports (optional)

What happens next

We confirm your referral within 1 business day.
Our intake team meets the participant to talk about goals.
We send a service agreement and start supports.

Prefer to email?

Send your referral form and documents to

info@visioncaredisability.com.au NDIS Registration No. 4050131897

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