Refer a client

Use the referral form below for NDIS, iCare/LTCS, workers compensation, DVA, Home Care Package or private physiotherapy enquiries across Western Sydney and The Hills District.

Choose the pathway that best fits

The same referral form can be used by participants, families, coordinators, case managers and treating teams. Choose the pathway closest to the person making the referral.

Participant or family member

Who this is for

People seeking support for themselves, a family member or someone they help coordinate day to day.

Helpful information

Suburb, funding pathway, main mobility or daily function concern, preferred contact person and any urgent safety issue.

Usually clarified next

Service area, consent, availability, goals and whether mobile physiotherapy is likely to be suitable.

Continue to referral form

Support coordinator or case manager

Who this is for

Coordinators and case managers checking fit, availability, reporting needs or therapy priorities before referral.

Helpful information

Funding type, suburb, broad referral reason, urgency, known risks, consent status and whether reports or training may be needed.

Usually clarified next

Referral suitability, communication preferences, approval requirements and the most useful first assessment focus.

Continue to referral form

Provider or treating professional

Who this is for

GPs, therapists, nurses, providers or treating teams seeking physiotherapy input for a shared client.

Helpful information

Functional issue, relevant precautions, diagnosis context, current supports, equipment, key risks and consent to liaise.

Usually clarified next

Role boundaries, communication needs, documentation requirements and whether the referral matches the mobile service scope.

Continue to referral form

Online referral form

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Please avoid including unnecessary sensitive information at the first enquiry stage. For more information, see Privacy and referral information.

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