Referral

Refer Someone for Support

If you or someone you know could benefit from our NDIS or mental health support services, complete the referral form below. Our team will reach out within 24 hours to discuss how we can help.

Our dedicated team responds to all referrals within 24 hours

Available 7 days a week

Who Can Make a Referral?

We welcome referrals from participants, families, support coordinators, health professionals, and service providers. Our streamlined process ensures that everyone receives the appropriate support they need in a timely manner.

Health Professionals

Doctors, therapists, and healthcare providers

Families & Carers

Family members and support networks

Service Providers

Support coordinators and organizations

Referral Form

Please complete all required fields to ensure we can provide the best support

Referrer Details
Participant Details
Services Requested
Additional Information
Thank you! Your submission has been received!
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Empowering Assist
YOUR CARE, YOUR CHOICE

Specializing in mental health and psychosocial disability support across Melbourne. Compassionate, expert guidance when you need it most.

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