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Participant assessment

Thank you for the referral. This assessment lets us match the right workers, check the roster and confirm funding before we call you. It takes about 10 minutes, saves in your browser as you go, and you can return to finish it later. Please do not include NDIS numbers, full addresses or medical reports — we arrange secure document sharing after consent.

Section 1 of 8 · Referral details

Your answers save in this browser as you go, so you can come back and finish later. Nothing is sent to us until you press Submit.

Referral details

Who you are and which participant this relates to. Initials are fine; please do not enter an NDIS number.

Age group (required)
Living setting (required)
Main purpose of seeking a new provider (required)
Urgency (required)