Participant referrals

Submit a referral.

Complete the secure form below. Once submitted, the referral is converted into a PDF and emailed directly to the Your Journey Compass team.

Before you begin

Information that helps us respond.

Please have the participant’s NDIS number, current plan dates, goals, contact details and decision-making arrangements available. Required fields are marked with an asterisk.

Submitting a referral does not guarantee service availability. Our team will review the information and contact you to discuss suitability, capacity and next steps.

Referrer details

Tell us who is making the referral and how we can contact you.

Referrer name *OrganisationPhone *Email *

Participant details

Provide the participant’s identifying and contact information.

Participant name *NDIS number *Participant phone *Address *NDIS plan start date *NDIS plan end date *

03Plan and decision-making

How is the NDIS plan managed? *

NDIA-managedPlan-managedSelf-managed

Who makes decisions for the participant? *

Participant is their own decision-makerOffice of the Public Guardian (OPG)Plan nominee

OPG or plan nominee nameRelationship or authorityOPG or nominee phoneOPG or nominee email

Goals and support needs

Help us understand what matters to the participant and what support is being requested.

Primary disability and relevant support needs *NDIS goals *Services or supports being requested *Additional information, risks or communication preferences

Checking the secure referral connection…