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Canberra, Queanbeyan & Surroundings 24/7 Support NDIS Registered · ABN 24 691 459 220
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NDIS Referral

Submit a Referral Form

Refer yourself or someone you support to CareMax Disability — we’ll be in touch within 24 hours.

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NDIS Referral Form

Complete this form to refer yourself or someone you support to CareMax Disability.
Participant Details
Support Needs
Referrer Details (if different)

Need Help?

0405 102 359 info@caremaxdisability.com

Available 24/7 — response within a few hours.

What Happens Next?

  • We confirm receipt within 24 hours
  • A coordinator contacts you to discuss needs
  • We match you with the right support worker
  • Support begins on your preferred date

What You’ll Need

  • Your NDIS plan (if available)
  • NDIS participant number
  • Contact details
  • Support coordinator details (if applicable)

NDIS Registered

CareMax Disability Pty Ltd is a fully registered NDIS provider. ABN: 24 691 459 220. We operate under the NDIS Quality & Safeguards Framework.