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NDIS
Services
Disability & Inclusion Services (NDIS)
Core Support
Supported Accommodation
Capacity Building Support
Support Coordination
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Locations We Serve
Victoria
Hume Region
Melbourne CBD
Inner–Middle Ring Councils
Mornington Peninsula Region
Barwon South West Region
Middle–Outer Metropolitan Councils
Ballarat Region
Outer Metropolitan Growth Councils
Geelong & Surf Coast Region
Gippsland Region
Bendigo & Loddon Region
Goulburn Valley Region
Grampians & Wimmera Region
Mallee Region
Great South Coast Region
New South Wales (NSW)
Sydney / Inner Metropolitan
Greater Metropolitan / Outer Sydney
Hunter & Central Coast
Northern NSW / North Coast
South Coast / Illawarra
Western NSW / Central West
Far West / Outback NSW
Riverina / South-West NSW
Southern Tablelands / Monaro
Queensland (QLD)
South-East Queensland (SEQ)
Wide Bay–Burnett
Darling Downs–Maranoa
Central Queensland
Mackay–Whitsunday–Isaac
Townsville Region
Far North Queensland (Tropical North)
Torres Strait & Cape York
North West Queensland (Mount Isa & Gulf Savannah)
Western / Outback Queensland
Western Australia (WA)
Inner Metro / CBD & Western Suburbs
Northern Suburbs (Perth)
Southern Suburbs (Perth)
Eastern Suburbs / Perth Hills
Outer Metro / Fringe Suburbs
Kimberley Region
Pilbara Region
Gascoyne Region
Mid West Region
Wheatbelt Region
Goldfields–Esperance Region
Great Southern Region
South West Region
Peel Region
South Australia (SA)
Inner Metropolitan Adelaide
Middle Metropolitan / Established Suburbs
Outer Metro / Fringe Suburbs
Barossa & Lower North
Eyre Peninsula
Far North (Outback SA)
Fleurieu Peninsula & Kangaroo Island
Limestone Coast
Murraylands & Riverland
Adelaide Hills & Mount Lofty Ranges
Yorke & Mid North
Tasmania (TAS)
Hobart / Greater Hobart Area
South East & East Coast
North-East / North-East Coast
Launceston / Northern / North-West Tasmania
North-West Coast / North Coast / Central North
Australian Capital Territory (ACT)
Australian Capital Territory Districts
Northern Territory (NT)
Darwin & Palmerston (Top End / Urban NT)
Alice Springs & Central Australia
Barkly Region
Katherine & Surrounds
Arnhem Land & Tiwi Islands
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Victoria (VIC)
New South Wales (NSW)
Queensland (QLD)
South Australia (SA)
Western Australia (WA)
Tasmania (TAS)
Northern Territory (NT)
Australian Capital Territory (ACT)
What Services Do You Require From Us?
Complex Personal Support
Life Stage Support
Daily Personal Care
Safe Travel Assistance
Skilled Nursing Support
Shared Living Care
Engaging Community Programs
Skills for Independence
Home Care Support
Community Inclusion
Social Group Programs
Shared Independent Living
Specialist Disability Accommodation
Community Health Nursing
NDIS Support Coordination
NDIS Plan Management
NDIS Hospital Discharge Program
Any Other Service
Preferred Day(s)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
All Week
Preferred Time(s)
Frequency
Client Full Name
Client Date of Birth
Client Gender
Male
Female
Non-binary
Intersex
Transgender
Prefer not to say
Client Address
Client Phone Number
Client Email
Funding Source
NDIS
My Aged Care
TAC
Self-funded
Other
Indigenous Identification
Yes
No
Unknown
Languages Spoken
Interpreter Requirement?
Yes
No
Medical History
Contact Person Name
Referrer
Client
Client Representative
Contact Email
Contact Phone
How Did You Hear About Us?
Google Search
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GP/Health Practitioner
Social Media – Facebook, Instagram, etc.
Another client
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Full Name For CLIENT DECLARATION
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