Practitioner Referral Form

Lotus Disability Care Group is a NDIS provider group that supports clients with attaining and maintaining their NDIS packages. We provide Access services, Support Coordinators, Psychosocial Recovery Coaches, Support Workers, Domestic help and access to a variety of Allied Health Practitioners. We also provide workshops that help to build participant confidence, skills and to support developing relationships in the community.

To refer your patient/client, please complete the following referral and submit. We will be in touch via email to confirm any other details required.

Participant Infomations
Participant Preferred Name
NDIS Participant Number
Date of Birth
Home Address
Email
Phone
Emergency Participant Infomations
Emergency Contact Name
Emergency Contact Number
Relationship to Participant