Refer a client in your care for NDIS Occupational Therapy Services

Not a NDIS participant?

NDIS Referral Form

Choose Therapy - Occupational Therapy Services

Thank you for choosing Choose Therapy - Occupational Therapy services. Please complete the referral form below as best as you can so we can understand your client's needs and provide the best possible service for them.

If you need help completing this form, please email choosetherapy@gmail.com or call 0430 522 850.

Client Information

NDIS Plan Details

Reason for Referral

Relevant Background

Preferred Appointment Options

Consent & Privacy

By submitting this referral, I confirm that:

  • I have the participant's consent to share this information with Choose Therapy.
  • All details provided are true and correct to the best of my knowledge.