Refer with confidence.We’re here to help.

One page, one form. Review everything before you send it.

Go to the referral form

Referral form

Required questions are marked. Your answers are emailed to Simaru’s referral inbox for follow-up. They are not saved to a referral database on this site; only a reference and a checksum are held for 24 hours so a repeated send cannot become a second referral. Sending this form does not decide eligibility or availability, and it does not assign a support worker. Do not attach documents; the team will ask for anything further directly.

Communication help

You can ask for another format or communication support. The National Relay Service supports phone access, and TIS National provides interpreting assistance.

NDIS funding type
Preferred method of contact
Living Situation
Aboriginal or Torres Strait Islander descent?
Does the client have a current Behavioural Support Plan?
Tick all that apply
Mode of Communication
Services being requested / hours per day/week. Please specify
Do you have a preference for your support worker?
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Complete the security check, then send the referral to Simaru by email.