make a referral

Referral status

THERAPY: CLOSED FOR REFERRALS

LEGO® CLUB: OPEN FOR REFERRALS

Referrals to New England Behaviour Support can be made by the person requiring support, their representative, Support Coordinator or third party with the consent of the person or their parent/carer/guardian.

REFERRAL ELIGIBILITY:

NDIS Plan or Self Managed Improved Daily Living OR Fee for Service based on NDIS Price Guide hourly rate of $193.99
You must live in Tamworth or be prepared to travel to our Tamworth NEBS Clinic for appointments

For NDIS Participants, prior to your initial appointment, we need the following information:

NDIS Plan Goals
NDIS Plan start and end date
NDIS Number
An available budget for our service from your Plan (you can get this from the NDIS Participant Portal or your Plan Manager)

If you require assistance to complete a referral for our services, please get in contact with on 6766 2892.

NOTE: If you need. copy of your referral, please print before submitting.

Do you have consent to make this referral?*

YesNo

Client's name*

Client's address*

Client's age*

Client's disability (if any)

Please describe intellectual, physical (particularly access issues) or health concerns (including allergies).

Referrer's name*

Person completing this referral

Referrer's relationship to Client*

Referrer's preferred contact details*

Support required*

*NDIS - Improved Daily Living (Early Intervention or Full Scheme) for Plan and Self Managed NDIS Participants

Funding*

Plan ManagedSelf ManagedFee for Service (private paying)

Please explain issue or concern:*

Preferred contact details to initiate service *

Include name and either phone number or email address

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Thank you! Your referral has been successfully submitted to New England Behaviour Support. Your referral has been placed on our wait list for services which may take up to 3 months to receive a service. We will be in contact with you when we are in a position to commence services with you. If you would like to know where you are on the waitlist, please contact our office on 02 6766 2892. We can't wait to start working with you!

get in touch

Address

Unit 6, 56 Dowe Street

Tamworth NSW 2340

Contact

02 6766 2892
[email protected]

Hours

Monday to Thursday

9:00am to 4:00pm