NDIS Referrals

Please use the form below to submit a National Disability Insurance Scheme (NDIS) referral.

Our focus is on supporting every participant to achieve their goals and be part of the activities in their community. The Empact team works with the participant, their family and other supports, to ensure each individual is able to get maximum benefit from their NDIS plan.

If you have any questions, please get in touch with us.

All fields with an asterisk * are required to ensure we can process the referral and start providing services and supports as soon as possible. If you don’t know the details for a field, please write “unknown” in that box.