Alternatively, please complete the referral form below and we will contact you to discuss

Note: Please only complete below if you are unable to complete the referral form

Referral Details
Service Required
Funding Arrangements
Positive Behaviour Support Plan

Thanks for submitting this referral. We will be in contact within the next 24 hours.


Community Assist Referral Form

To make a referral to Community Assist, please complete the NDIS referral form below and email to