Quick Enquiry Form
If you'd like to quickly check our current capacity before completing a full referral, you're welcome to contact us using the form below.
We will aim to respond to your query within 1 business day.
Completing this quick enquiry form does not place you on our waitlist (if applicable). To lock in a place on our waitlist, you need to complete the full referral form.
If you have any trouble completing this form, or need help to complete it, call us on (03) 5215 5931 and ask for help completing the BSP enquiry form.
We will aim to respond to your query within 1 business day.
Completing this quick enquiry form does not place you on our waitlist (if applicable). To lock in a place on our waitlist, you need to complete the full referral form.
If you have any trouble completing this form, or need help to complete it, call us on (03) 5215 5931 and ask for help completing the BSP enquiry form.
Full Referral Form
Important Notes:
Colac: Extensive wait times currently apply.
Warrnambool: We can no longer service this area in an in-person capacity (telePBS / telehealth is still possible)
TelePBS: Remote service delivery is possible in any location for Australia. For information about how this generally works and whether it might be a good fit for you, please see information from the NDIS Commission here: https://www.ndiscommission.gov.au/rules-and-standards/behaviour-support-and-restrictive-practices/delivering-positive-behaviour
Completing this form:
If you have any trouble completing this form, or need help to complete it, call us on (03) 5215 5931 and ask for help completing the BSP Enquiry Form.
Note that all required fields must be complete for the form to submit properly, and it may timeout if you leave your computer. If the form is not submitted, be sure to scroll up and check for any error fields and resolve these before trying again.
Colac: Extensive wait times currently apply.
Warrnambool: We can no longer service this area in an in-person capacity (telePBS / telehealth is still possible)
TelePBS: Remote service delivery is possible in any location for Australia. For information about how this generally works and whether it might be a good fit for you, please see information from the NDIS Commission here: https://www.ndiscommission.gov.au/rules-and-standards/behaviour-support-and-restrictive-practices/delivering-positive-behaviour
Completing this form:
If you have any trouble completing this form, or need help to complete it, call us on (03) 5215 5931 and ask for help completing the BSP Enquiry Form.
Note that all required fields must be complete for the form to submit properly, and it may timeout if you leave your computer. If the form is not submitted, be sure to scroll up and check for any error fields and resolve these before trying again.
