Participant referral

Tell us what good support should look like.

This form helps us understand the participant’s goals, preferences and requested support. We will contact you if anything needs clarification.

Looking to refer a care worker or nurse instead? Use the staff referral form →

Clear acknowledgement. We aim to respond within one business day.
A participant leading a relaxed planning conversation A parent and child completing an everyday project together

About you

About the participant

Support being requested

Protect the participant’s privacy. Please do not paste complete NDIS plans, medical records or identity documents into this form. If we need a document later, we will explain how to provide it securely. Call 000 if someone is in immediate danger.

What happens next? We aim to acknowledge referrals within one business day. Submission does not confirm service availability or acceptance.

The referral will be emailed to AUXIO Care and will not be stored by this temporary website form.

Our acknowledgement

Acknowledgement of Country

AUXIO Care acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands and waters across Australia on which we live, work and provide support. We pay our respects to Elders past and present.

We recognise the continuing connection of First Nations peoples to Country, culture, family and community. AUXIO is committed to listening, learning and providing care that is culturally respectful, safe and inclusive.