Register Now - Anywhere Direct Care Pty Ltd

Register as an NDIS Participant

Join Anywhere Direct Care and start receiving the quality support you deserve.
Please complete the form below to register as an NDIS participant.
Once submitted, our friendly team will contact you to confirm your registration
and help create a personalised plan that fits your goals.

NDIS Participant Registration

Please complete this form to register as an NDIS participant.

Step 1

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Step 4

Full Name * Please enter your full name.

Date of Birth (DD/MM/YYYY) * Type numbers only (e.g. 12121987). It will format automatically. Please enter DOB as DD/MM/YYYY.

NDIS Number (optional)

Home Address * Please enter your address.

Phone Number * Please enter your phone number.

Email Address * Please enter a valid email address.

What type of NDIS plan do you have? * Please select a plan type.

What supports are you looking for? *

Personal Care Domestic Assistance (cleaning, laundry, etc.) Community Access / Social Support Transport Meal Preparation Gardening / Lawn Care Home Maintenance Other (please specify)

Please select at least one support.

Main goals or priorities (optional)

Additional notes (optional)

Upload NDIS Plan (optional) Accepted: PDF, JPG, PNG, DOC, DOCX (max 10MB recommended).

Consent is required.

💜 Need Help?

If you need assistance completing the form or have questions about our services,
please contact us at AnywhereDirectCare@gmail.com or call us at 041414980

Register as an NDIS Participant

Join Anywhere Direct Care and start receiving the quality support you deserve. Please complete the form below to register as an NDIS participant. Once submitted, our friendly team will contact you to confirm your registration and help create a personalised plan that fits your goals.

NDIS Participant Registration

💜 Need Help?

If you need assistance completing the form or have questions about our services, please contact us at AnywhereDirectCare@gmail.com or call us at 041414980

Join Anywhere Direct Care and start receiving the quality support you deserve.
Please complete the form below to register as an NDIS participant.
Once submitted, our friendly team will contact you to confirm your registration
and help create a personalised plan that fits your goals.

If you need assistance completing the form or have questions about our services,
please contact us at AnywhereDirectCare@gmail.com or call us at 041414980