Make a Referral or Support Enquiry

Participants, families and professionals can contact Kindora Connect by selecting the relevant service pathway. The team will review the information and explain appropriate next steps.

Call 0431 060 524

Choose the pathway first

NDIS referral and Support at Home enquiry fields stay separate.

Privacy respected

Information is used to respond to the enquiry or referral.

Not for emergencies

For urgent or emergency needs, call the appropriate emergency service.

Only share what is needed

Provide enough information for initial contact. Detailed clinical documents are not requested here.

Consent is required

The person submitting the form must confirm they have authority to share the information.

You can call instead

If you would rather speak with someone, call 0431 060 524.

Need to prepare before submitting? Read the referral guides and support resources first.

View Resources

NDIS referral

NDIS participant details

Step 1 of 4

Choose the referral pathway

The services and fields change based on this selection.

NDIS referralFor NDIS participants, families and professional referrers.Support at Home enquiryFor older people, families, representatives and provider contacts.

Participant full name *

Phone number *

Email address

Address *

Date of birth *

NDIS number (optional at initial referral)

Emergency contact name *

Emergency contact phone *

Funding management type

Kindora Connect is a Registered NDIS Provider. Support at Home services are delivered as an associated provider through VitalCare Support. Do not use this form for emergencies.

Back to home