Make a referral

NDIS referral

For NDIS participants of any age, with self-managed, plan-managed or agency-managed plans.

NDIS referralChange funding
Before you start
  • It takes about 5 minutes. Questions are required unless they say "(optional)".
  • It helps to have handy: their NDIS number; how the plan is managed, and the plan manager's details if there is one; any documents to attach, such as the relevant plan pages or a behaviour support plan.
  • Prefer to talk? Call 0479 077 723 or email info@greaterhealth.au, Monday to Friday, 8:30am to 5pm.

Different funding? Choose another referral form.

Step 1 of 6 About you

Who is filling in this form?

Only if you're referring someone else.

For example, daughter, partner or guardian.

Only for family members, carers and guardians.

For example, support coordinator or physiotherapist.

Only for professionals and others referring someone.

Only for professionals and others referring someone.

We'll reply to this address.

Only if you're referring someone else.

Only if you're referring someone else.

Step 2 of 6 The person

Their date of birth

For example, 27 3 1984

Helps us plan home visits.

If so, tell us which language.

Who should we contact to arrange sessions?

Only if you're referring someone else.

Only if you chose "Someone else" above.

For example, parent or guardian.

Only if you chose "Someone else" above.

Only if you chose "Someone else" above.

Only if you chose "Someone else" above.

Best way to get in touch (optional)

Step 3 of 6 NDIS plan

9 digits, shown on their NDIS plan. We'll need it before the first session.

How is their NDIS funding managed?

Only if you chose "Plan-managed" above.

For plan-managed plans, usually the plan manager's accounts email.

Only if you chose "Plan-managed" or "Self-managed" above.

Which budget will pay for Exercise Physiology? (optional)

Shown on their NDIS plan. Select all that apply.

Plan reassessment date (optional)

For example, 30 6 2027

Only if you're not their support coordinator.

Only if you're not their support coordinator.

Only if you're not their support coordinator.

Step 4 of 6 Health and goals

For example, their main conditions, a recent surgery, or what's getting harder day to day.

In their own words, if you can.

Anything we should know to keep sessions safe? (optional)

Select all that apply.

Does the behaviour support plan include regulated restrictive practices?

If it does, please attach the plan in step 5.

Only if you ticked "Has a behaviour support plan" above.

For example, pets, stairs, parking or access.

Step 5 of 6 Sessions and documents

Where would they like sessions? (optional)

Select all that apply.

How often? (optional)
Session length (optional)

For example, the relevant pages of their NDIS plan, or a behaviour support plan. PDF, Word, JPG, PNG or HEIC, up to 4 MB in total. Larger files? Email them to info@greaterhealth.au.

Step 6 of 6 Check and send

How we use these details

Greater Health collects these details, including health information, to assess the referral, contact the person or their contact person, plan safe sessions and claim funding. We only share them with people involved in their care or funding, such as their GP or referrer, their plan manager or the NDIA, their Support at Home provider, Medicare, DVA, TAC or WorkSafe. If key details are missing, we may not be able to accept the referral.

Your referral is emailed to info@greaterhealth.au and isn't stored on this website. Our privacy policy explains how to see or correct this information, how it's kept, and how to make a complaint.

Let's start with your goal.

No pressure, and we reply within 1 to 2 business days.

For you or someone you care for

Book a free 10-minute chat

A quick, friendly chat about your goals and how we can help.

For support coordinators and health professionals

Make a referral

Forms for every funding type, in one place, ready to share with your clients.

GPs don't need a form: simply email a referral letter to info@greaterhealth.au.