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Referrals

At Our House Support, we make the referral process simple, transparent, and person-centred. Whether you are a participant, family member, Support Coordinator, or Allied Health professional, our team welcomes all referrals for Supported Independent Living (SIL) within the Newcastle and Lake Macquarie regions.

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By completing this referral form, you’re helping us learn more about the participant’s goals, preferences, and support needs so we can provide the most suitable and empowering care environment.

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Once submitted, a member of our team will review your referral and contact you promptly to discuss next steps and any additional information required.

Referral Form - Our House Support

Participant Details

Gender
Participant Date of Birth
Day
Month
Year

Primary Contact

Start Date
Day
Month
Year

Participant Information

Support Required (tick all that apply)
Cultural Identity
NDIS Plan Start Date
Day
Month
Year
NDIS Plan Conclusion Date
Day
Month
Year
Funding Type
Companion Card?
Yes
No
Unsure
Mobility Sticker?
Yes
No
Unsure
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