NDIS Referral

This form is for initial NDIS contact triage only.
A valid written referral is required before any consultations can begin.

Type of Support
Name of Participant
(include area code if not mobile)
Preferred Support Location
Plan Management
Referrer Name
Relationship to Participant
(include area code if not mobile)
Best Initial Contact
(include area code if not mobile)

NDIS provider 4050087307

NDIS Feedback & Complaints

Online: Feedback form or live chat

Email: enquiries@ndis.gov.au

Phone: 1800 800 110 (NDIS National Contact Centre), Monday – Friday 8am to 8pm

In person: by visiting an NDIS office, Local Area Coordinator (LAC) or Early childhood (EC) partner

Mail: NDIA, GPO Box 700, Canberra ACT 2601.

If you need an interpreter, call the Translation and Interpreting Service (TIS) on 131 450 and ask to be connected to the NDIS.

If you have hearing or speech loss, contact TTY on 1800 555 677 or the National Relay Service on 1800 555 727.

More details here.