Sign Up

(Complete only if applicable)

(If someone else is making this referral)

(Select all that apply)

(Provide the goals listed in your NDIS plan)

Give Compass Care Group permission to contact the following for the purpose of coordinating NDIS supports:

1. NDIS
2. Allied Health Providers
3. GP / Specialists
4. Support Coordinators
5. Plan Manager
6. Schools / Employers
7. Informal Supports
8. Other relevant stakeholders

By submitting this form, I consent to Compass Care Group contacting me by phone, email, SMS, or mail regarding this sign-up. If I am completing this form as a referrer, I confirm that I have the participant’s permission to share their information and consent to Compass Care Group contacting me for clarification or updates if needed. I understand that all information provided will be kept confidential and managed in accordance with the Australian Privacy Principles and NDIS Practice Standards.

I confirm that the information provided above is true and correct. I agree to be contacted by Compass Care Group regarding the services selected.