Submit New Referral

Complete this secure form to refer a participant to NT Assistive Services. All information is confidential and will be reviewed within 24 hours.

Progress

Step 1 of 4
1

Participant Information

Quick Reference

Response Time

We review all referrals within 24 hours and contact you within 48 hours.

Required Information

  • • Current NDIS plan
  • • Participant contact details
  • • Support needs assessment
  • • Emergency contact information

Need Help?

Contact our referral team:

(08) 8123 4567

referrals@ntas.com.au

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