Referrals in Bendigo

A straightforward path to personalised support.

We welcome referrals from participants, support coordinators, plan nominees, allied health professionals and others. You can contact us first to discuss suitability.

Services you can enquire about

Domestic assistance
Carer respite
Social and recreational activities
Community access
Gardening
Life skills and mentoring

Privacy disclaimer

Your privacy is important to us. The information you provide will be used solely for assessing and providing disability support services. We securely store your data and restrict access to authorised personnel only, in compliance with the Privacy Act 1988 (Cth).

Referral form

Complete the details below and your email application will prepare a message to our Bendigo office.

Participant's full name *

Participant's email *Participant's contact number *

Participant's date of birth (dd/mm/yyyy) *Participant gender *

Participant residential address *

NDIS participant ID (if applicable)NDIS plan start and end date (if applicable)

What is your role? *

Your full name (if different to above)Your email (if different to above)

Your phone *

How is the plan managed? (if applicable)Plan manager's email (if applicable)

Plan nominee's full name, relationship and contact information (if applicable)

Please select the services you are enquiring about *

Please briefly describe how you hope we can assist you. *

What is your preferred method of communication? *

PhoneEmailEither

A straightforward path to personalised support.

Services you can enquire about

Privacy disclaimer

Referral form

Supporting Bendigo, Victoria