Empowering independence. Connecting communities.
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Start a conversation

Make a referral

Tell us what support you are looking for.

01

Who can refer?

We welcome enquiries from participants, families, nominees, plan managers, allied health and health professionals, community organisations and other providers.

02

What happens next?

Our team will discuss the participant’s goals, location, Support Coordination funding and preferred way to communicate. We will explain availability and next steps before requesting detailed documents or sensitive information.

03

A privacy-first start

Use the referral form below, or call or email us with your name, contact details, location and the type of support you are seeking. Please do not email medical records, NDIS plans or other sensitive documents at this first stage. We will discuss a suitable way to share further information if needed.

Referral form

Start a referral

Fill in what you know — fields marked * are required. Submitting sends your referral straight to our team at info@friendlycareprovider.com.au. Please don't include medical records; we'll arrange a secure way to share those later.

01

About the referral

Who is making this referral? *
Service requested *
02

Participant details

Interpreter required?
Preferred contact method *
Do you identify as Aboriginal and/or Torres Strait Islander?
03

NDIS plan

NDIS funding type *
04

Representative & emergency contact

05

Support & goals

Living situation
06

Referrer details & consent

Friendly Care Provider

Ready to take the next step?

Talk to our team

Your next step starts here

Let's find a way forward, together.