Make a Referral

Refer yourself, a family member, or a client to Safe Hands. Our intake team will contact you within 1 business day to discuss your needs.

1

Submit Referral

Complete the form below - takes about 5 minutes

2

We Call You

Our intake team contacts you within 1 business day

3

Needs Assessment

We discuss goals, plan details, and available supports

4

Service Agreement

We prepare your service agreement and match your workers

5

Supports Begin

Your supports start - usually within 1-2 weeks of referral

No NDIS plan yet? That's okay - you can still submit a referral. We'll help you understand your options and connect you with support.
One form, done. This referral also creates your free client account. After submitting you go straight to your dashboard to book appointments - no separate sign-up needed.

1. Who Is Making This Referral?

2. Participant Details

Used to create your client account

3. NDIS Details

9-digit number on your NDIS correspondence

4. What Support Do You Need?

Select all that apply:

0 / 1000

5. Consent & Declaration

6. Create Your Client Account

Choose a password to activate your account. Once you submit, you will be taken straight to your client dashboard where you can book appointments, view invoices, and manage your services.

Your information is stored securely. We will never sell or share your personal information without your consent. Fields marked * are required.

Not Ready to Refer Yet?

That's fine - explore our services, read about the NDIS, or come to a free information event. We're here whenever you're ready.

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