Make a Referral

Refer to a team that actually picks up the phone.

Whether you are referring yourself, a family member, or a client, Centre of Hope makes the process straightforward. Fill in the form below and we will be in touch within one business day.

Who can refer

Three ways to make a referral to Centre of Hope.

You do not need to be a professional to refer someone. NDIS participants, family members, and external organisations can all submit a referral using the same form below.

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Option 1

Self-referral

You are an NDIS participant looking for a coordinator, recovery coach, or employment support. Fill in your details and tell us which service you need.

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Option 2

Family or carer referral

You are referring on behalf of a family member, friend, or someone you care for. The form has a section to capture both your details and theirs.

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Option 3

Professional referrer

You are an NDIA planner, LAC, hospital social worker, mental health team, or community organisation referring a participant. Add your organisation details so we can collaborate properly.

What happens next

From referral to first session, step by step.

No mystery. Here is exactly what to expect once your referral lands in our inbox.

You submit the form

Takes 3 to 5 minutes. The form is below, no account or login needed.

Today

We read it carefully

A Centre of Hope coordinator reviews the referral and decides who on the team is the best fit.

Within 1 business day

We call or email you

A short conversation to understand the situation, answer any questions, and confirm next steps.

Within 2 business days

First session is booked

At your home, in the community, or online, whichever works best. We start walking alongside you straight away.

Within 1 to 2 weeks

Referral form

Tell us about the participant being referred.

Three short sections: referrer details, participant details, and the service you are requesting. Takes about 5 minutes.

Referral Form

First Name (Referee)

Last Name (Referee)

Address (Referee)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile (Referee)

Email (Referee)

Request for

Next of Kin/Carer

NDIS No. of COS No.

First Name (Referrer)

Last Name (Referrer)

Org. or Dept. (Referrer)

Phone/Mobile (Referrer)

Email (Referrer)

Prefer to talk it through first?

If you would rather call or email before filling in the form, we are happy to discuss the referral over the phone or in writing.

📞 Call 0432 250 900 ✉️ Email us

Every referral is treated with care, in confidence, and answered by a real person.

Your goals · Your plan · Our support

In the spirit of reconciliation Centre of Hope acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.