NDIS Online Referral Form

For direct referrals to Kairos Care, please complete this online form.

If you are having difficulty filling this form, leave your contact details in our contact page and we will contact you as soon as possible.
Participant / Client's Details
Is the Client a participant of the National Disability insurance Scheme (NDIS)?
NDIS Plan Type
Disability
NDIS SERVICE/S REQUESTED
client gender
Does the person being referred identify as:
Does the person require an interpreter?
Do you have consent from the person that you are referring ( or their representative) to share the information in this form?
How Did you hear about us?
If you are unsure about something or would like to chat with someone about this referral, please call (02) 8502 8400 and our intake team will be happy to support you.
For Staff Use Only ( Please fill up forms as required)

NDIS Participants' Forms

Kairos Care Pty Ltd.
Copyright 2024 © All rights reserved.
Kairos Care Pty Ltd understands the importance of recognising the traditional owners of the lands on which we operate. We extend our respect to the Elders, both past and present, and acknowledge the unique and ongoing connection that native people have to this land.
Contacts
Address
Western Sydney 115-117 Best Road, Seven Hills NSW 2147 Southern Sydney 7-9 President Avenue, Caringbah NSW 2229
Working Hours
We are open from Mondays to Fridays 8:00 AM - 6:00 PM.