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Referrals

NDIS referral form for coordinators, GPs & families

Built for support coordinators, local area coordinators, hospital discharge teams and aged care assessors. Send what you have — we tell you within one business day whether we can staff it.

How intake works

  1. 1

    Send the referral

    Email the participant's details, plan dates, funded supports and the outcome they want. One page is enough to start.

  2. 2

    Intake call within one business day

    We confirm capacity, worker match, clinical needs and any risks before anyone commits.

  3. 3

    Meet and greet

    The participant meets the proposed worker or clinician. If it isn't a fit, we try again — no pressure.

  4. 4

    Service agreement and schedule

    Plain-language agreement, service booking, roster and consent forms signed digitally.

  5. 5

    Start and review at six weeks

    First shift within a week where staffing allows, then a structured review with notes you can use at plan reassessment.

Online referral

Make a referral

Complete the short form and our intake team will contact you within one business day. Fields marked required must be completed.

Please protect private information

Only attach documents you have permission to share. Files are stored privately and are available only to the Ametz intake team.

We only use these details to respond to this referral.

Referral checklist

Tick these off before you send

  • Participant name, date of birth and preferred contact
  • NDIS number and plan start and end dates
  • Copy of the plan or the funded support categories and amounts
  • Plan management type: agency, plan managed or self managed
  • Supports requested, days and hours needed
  • Clinical needs: medication, mealtime, epilepsy, continence, mobility
  • Behaviour support plan and any regulated restrictive practices
  • Communication needs, language and interpreter requirements
  • Home access notes: stairs, parking, pets, other household members
  • Existing providers and the support coordinator's contact details

Good to know

Urgent and unplanned referrals

Call rather than email. We keep a small amount of unallocated capacity each week for hospital discharges and respite breakdowns.

Complex clinical needs

Referrals involving PEG feeding, tracheostomy, ventilators, complex bowel care or regulated restrictive practices go straight to a registered nurse for review before we accept.

If we can't take it

We say so on the same call and, where we can, point you to another provider in that region. A slow no is worse than a fast one.

Check the regions we cover