Four support coordinators completing NDIS referral form on a computer.

Your referral form for Therapy

To begin your journey with National OT, you need to submit a referral form. The form provides us with important information on your, or your client’s goals and needs. This information is important because it helps us to allocate the most suitable therapist in your location.

You need to complete all the information to ensure you get the services you need. If you get stuck, we are here to help you. Just give us a call between 9:00 am and 5:00 pm Eastern Time.

Appointments are available from Monday to Friday within business hours. After hours appointments can be arranged if required.

When completing the form, please refer to our  Services and Fee Guidelines  as it will assist you.

For NDIS clients, please look at our referral checklist  to help you to fill out the form.

PLEASE NOTE: If you're filling out a referral form for a driving assessment, you must have a doctor complete a Vic Roads/RMS medical report. To process your referral, we require a copy of the report lodged with Vic Roads/RMS . The report is needed as medical clearance must be gained before we can action the referral.

If you require translating and interpretive services National
OT uses TIS  (TIS is a free service for NDIS).  Auslan Interpretive services are available and are funded independently. Check the 'Core Support' section of your NDIS plan. Please contact NDIS if you need further details.

Below are copies of the referral forms to download.

National OT horizontal info-graphic showing how to prepare and submit our referral form to receive therapy
National OT vertical info-graphic showing how to prepare and submit our referral form to receive therapy