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Make an NDIS Support Coordination Referral

Make a referral for support coordination with AtlaCare.

Whether you are a participant, family member, support coordinator, plan nominee, or provider, you can use this page to start a referral.

 

AtlaCare will review the information provided and get in touch to discuss the next steps.

Before you refer

Please make sure the participant is aware of the referral and has given consent for AtlaCare to contact you about it.

Consent required

Provide what you can

We’ll follow up if needed

Start Your NDIS Support Coordination Referral

Complete the form below to submit an NDIS support coordination referral to AtlaCare. Participants, nominees, family members and professionals are welcome to refer.

Referrer details

Your relationship to participant

Participant details

Complete this only if it is different from your contact details and you are authorised to provide it.

Complete this only if it is different from your contact details and you are authorised to provide it.

Is the participant aware of this referral?
Yes
No
Unsure
Not applicable — I am the participant
Has the participant given consent?
Yes
No
Unsure
Not applicable — I am the participant

Contact preferences

Who should AtlaCare contact first?
The participant
The person submitting this referral
Either person
Unsure
Preferred contact method
Phone call
Email
SMS
No preference

NDIS and support details

Does the participant have an active NDIS plan?
Yes
No
Unsure
How is the participant’s Support Coordination funding managed?
Self-managed
Plan-managed
NDIA-managed
Unsure
Not applicable — no active plan
Type of support requested
Support Connection — Level 1
Coordination of Supports — Level 2
Unsure which support is included in the plan
General enquiry

For example, what assistance is needed, what has prompted the referral, and whether support is required within a particular timeframe. Please do not include detailed medical records or highly sensitive information in this form.

AtlaCare will use the information provided to review this referral and contact the appropriate person about next steps. Please only provide information you are authorised to share. For more information, read our Privacy Policy.

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