Referrals

Make a referral.

Support coordinators, plan managers, family members and participants can use this form. We will review the referral and contact the referrer using the details provided.

Call 0451 084 731 Email us

What to have ready

A referral does not need to be long. These details help us respond usefully:

Who is making the referral and the best contact details
The support you are looking for
The preferred service area
How the participant's funding is managed
A short summary of what support is needed

Please do not include sensitive information

Do not include diagnoses, medical records, NDIS numbers or other sensitive information in this form. We will ask for what we need through a secure process if the referral progresses.

What happens next

1. We receive the referral by email.
2. We review the information and check service availability.
3. We contact the referrer to discuss the next step.

We do not promise a specific response time. If the referral is urgent, please call 0451 084 731.

Prefer to send an enquiry instead? Use the contact page.

Referral form

Tell us about the referral

Fields marked * are required. The form is sent by email to the Unified Steps team.

Please do not include diagnoses, medical records, NDIS numbers or other sensitive information in this form. We will ask for what we need through a secure process if the referral progresses.

Referrer's name

Your relationship to the participant

Phone

Participant's first name(optional)

Only if you have permission to share it.

Service required

Preferred service area

What support is needed?

A short summary is enough. Please do not include clinical or sensitive details.

I understand that this form sends my details by email to Unified Steps so they can respond to my enquiry. I have read the privacy policy. *

The referral is sent by email to info@unifiedsteps.com.au. We do not store form submissions on this website.

Currently welcoming new participants

Need to talk it through first?

If you are not sure whether a referral is appropriate, call or email us. We are happy to answer a quick question.

Unified Steps is currently unregistered and progressing through NDIS registration. Self-managed and plan-managed funding only. We cannot accept NDIA-managed funding. SIL availability depends on our registration application.