Referral Form

    NDIS

    NDIS is a service that endeavours to provide individualised support for people with an ongoing mental health diagnosis. NDIS takes a person-centred strength based approach, working with participants, their families and carers to develop an individualised plan. NDIS aims to connect participants with their community, and mainstream supports help participants pursue their goals and aspirations to participate in everyday life. Please visit our website at www.prosperiticare.com.au, to find out which scheme you can apply for. Prosperiti is able to assist in applying to NDIS, support co- ordination of an existing plan, and/or service delivery. More information on each of these services is available on our website www.prosperiticare.com.au. If you require assistance in selecting the right service, please contact our Intake Officer at info@prosperiticare.com.au or 0402 163 078.

    Details of the Person Making the Referral / Enquiry







    Details of Participant







    Support Required








    Next of Kin / Emergency contact






    Services Required


    Upload supporting documents



    Get In Touch

      • Address:Leeming WA 6149
      • Phone:0402 163 078
      • email:info@prosperiticare.com.au