Register for NDIS support

Fill in the form below and we’ll be in touch to confirm your details. Then we’ll book a time to talk about your goals and set up your support.

NDIS Participant Registration

Please complete this form to register as an NDIS participant.

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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? *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.

If you get stuck on the form or have any questions, give us a call. We’re happy to help.