Referral Form – NDIS Ongoing Care Program

Refer a Participant to Ongoing Care

Thank you for considering Ongoing Care. Please complete the referral form below to refer a participant for our NDIS services.

Our team will review the information provided and contact the participant, family member, representative or referrer to discuss support needs, service availability and the next steps.

We welcome referrals from:

• Participants and family members
• Support Coordinators
• Plan Managers
• Allied Health Professionals
• Hospitals and Health Services
• Schools and Educational Services
• Community Organisations
• Government and Non-Government Agencies

All information provided will be handled in accordance with our privacy and confidentiality obligations.

If you require assistance completing this form, please contact our team on 02 9724 9515 or 0406 250 177, or email supportcoordination@ongoingcares.com.au.

What Happens Next?

1. Referral received and reviewed.
2. Initial contact made with the participant or representative.
3. Assessment of support needs and service suitability.
4. Service agreement and commencement planning.
5. Ongoing support tailored to individual goals and needs.

At Ongoing Care, we are committed to providing person-centred, culturally responsive and high-quality supports that promote independence, choice and community participation.

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Referring Organization/Individual – Name: *

Position/Role:

Organization (if applicable):

Email *

Other Contact Information / Comments:

Client Information – Full Name: *

Client's Date of Birth:

Client's Address:

Client's Phone Number:

Client's Email Address: *

Support Needs and Background Information:

Please provide a brief description of the client's disability or support needs:

Current Supports and Services:

Please provide information about the current supports and services the client is receiving, if applicable:

Referral Information:

Reason for Referral:

Desired Outcomes:

Other Relevant Information:

Declaration:By submitting this form, I confirm that I have obtained the consent of the client or their authorized representative to refer them to the NDIS Ongoing Care Program. Please click the "Submit" button below to send the referral form. Thank you for referring a potential client to the NDIS Ongoing Care Program. If you have any questions or require further assistance, please contact us at supportcoordination@ongoingcares.com.au

Submit