Make an NDIS or Support at Home Referral in Adelaide

Use this form to refer someone to Kindora Connect for NDIS supports or a Support at Home enquiry in Adelaide. Participants, families, carers and professionals can refer with the person’s consent. Choose the pathway, add the key details and we will call to talk it through.

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

Sending a referral online needs JavaScript. Please call 0431 060 524 or email admin@kindoraconnect.com.au instead.

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

Who can make a referral?

Participants and older people can refer themselves. Family members, carers, support coordinators, plan managers, hospital staff and other professionals can refer on someone’s behalf, as long as the person knows and agrees to be contacted.

Not sure whether it is an NDIS referral or a Support at Home enquiry? Choose the closest option or call us, and we will help work it out.

Prefer to talk first? Call 0431 060 524. Office hours: Monday to Friday, 9am to 5pm. Saturday and Sunday: closed.

What should you include?

the person’s name, suburb and best way to contact them
the services you are asking about, and when support is needed
how NDIS funding is managed, or a My Aged Care reference if you have one
an emergency contact and anything important for safety or communication

Our guide on how to make an NDIS referral walks through each step.

What happens next?

We review the referral and contact the person named on it to talk through needs, timing and funding. A referral starts a conversation; support only begins once it is agreed. Read what happens after an NDIS referral.

Your privacy matters. We use the details only to respond to the referral, and we ask before collecting anything more sensitive. See our privacy policy.

Last reviewed 24 September 2026