Support Coordinator Sign Up

I am signing up on behalf of a participant

About You

About the Participant

About Participant's NDIS Plan

(This only applies if your current plan started after 30 October 2023 as part of the new NDIS PACE system)

This information can be found under Capacity Building Support – Choice and Control or Improved Life Choices

Are you currently plan managed?

Participants Contact Details

Additional Consent Details (for participant)

Please list any additional consents you wish to list on your service agreement with us. For example you may have supports in the community that you wish to be able to speak directly with us about your plan.

Or you may have a Support Coordinator or family member or nominee whom you wish to provide consent for.

You can always add or remove these at a later date by letting us know.

Do you want to add a Nominee?

How did you hear about us? (select one from below)

Attach the Plan

Accepted file types: doc, docx, pdf, Max. file size: 10 MB.