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NDIS Online Referral

Please take a moment to fill out the form.

Participant Details

Client Cultural Background
Interpreter required
Communication preferences or requirements
Access requirements

Referrer Information

Diagnosis and Background

Documentation

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Please provide a copy of the most recent NDIS plan and any previous allied health and medical reports, if available.

Upload File
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Risk Factors / Alerts
Funding Support
Who will sign the service agreement

Disclaimer
 

Wellcare Therapy will attempt to contact the nominated person listed in the referral as soon as the referral has been processed, in order to schedule an appointment at the earliest and most convenient time.​ If we are unable to reach you by phone and you have indicated a preferred appointment day and time on the referral form, we will do our best to schedule the appointment accordingly and will notify you via SMS and email.​ If no preferred day or time has been provided, we will need to make contact with you to confirm a suitable appointment. An SMS and email will be sent inviting you to respond with your availability.​ If we do not receive a response within ten business days of our initial contact attempt, the referral will be closed to allow us to support other clients in need of Wellcare Therapy services.

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