Refer a Participant

Refer someone to Ourside WA

Whether you’re referring yourself, a family member, or a participant you support, this form helps us understand their needs so we can get the right support started. A member of our team will be in touch after reviewing your referral.

Person-centred

We get to know each participant before anything else.

NDIS registered

A registered provider you and your participants can trust.

Prompt response

Our team reviews every referral and responds quickly.

Prefer to talk first? Call +61 470 272 630 or email info@oursidewa.com.au.

Your details

Your name

Relationship to participant

Email address

Phone number

Organisation (if applicable)

Participant details

Participant first name

Participant last name

Age

Suburb

Participant phone / email (if different from yours)

Diagnosis / primary disability (if known)

NDIS details

Has an NDIS plan?

How is the plan managed?

NDIS number (if available)

Support needed

Which support is the participant interested in?

Tell us about the participant’s goals or support needs

I confirm that I have the participant’s (or their guardian’s) consent to share these details with Ourside WA for the purpose of arranging support. *

Looking to make a general enquiry instead? Contact us here.

Not sure where to start?

We will support you along the way.

Our team provides advice and information. Contact us and we will help you find the right support.

Get In Touch