Socially TogetherDisability support across South Australia

Supported living Core supports Support coordination Find support About us Contact

Make a referral

Make a referral

Takes about five minutes. Anyone can refer, including the participant. We’ll call within one business day.

About you

Who is making this referral? *I’m the participantFamily member or carerSupport coordinatorPlan managerLAC or NDIA plannerHospital or health professionalSomeone else

Your name *

Organisation

Your phone *

Your email *

Relationship to participant

Has the participant been supported by Socially Together before?YesNoNot sure

Participant details

First name *

Last name *

Date of birth *Use YYYY-MM-DD

NDIS numberLeave blank if you don’t have one yet.

Phone *

Email

Suburb or town *

Best way to contact

Language spoken at home

Interpreter needed?YesNo

Aboriginal or Torres Strait Islander identity (optional)This helps us offer culturally safe support.

NDIS plan

How is the plan managed? *NDIA-managedPlan-managedSelf-managedNo plan yetNot sure

Plan start dateUse YYYY-MM-DD

Plan end dateUse YYYY-MM-DD

Plan manager name

Plan manager email

Current support coordinator (if any)

Attachments

Uploads are disabled in this draft. Please do not provide real documents.

Supports needed

Which supports are you interested in?Supported Independent LivingDay OptionsCommunity AccessRespiteSupport CoordinationBefore and After School CareNot sure, please advise

Home of interest

When would they like to move?

Is SIL funding already in the plan?

Housemate preferences

Preferred start

Days and times needed

Goals for this support

Support needs

Disability or diagnosis (optional)

Communication needs

Mobility

Help with medication?

Behaviour support plan in place?

Any restrictive practices?

Anything else we should know about safety or risks?

Consent

The participant (or their guardian) agrees to share this information with Socially Together to assess and arrange support. *The participant (or their guardian) agrees to share this information with Socially Together to assess and arrange support.

How did you hear about us?

Anything else?

Check your referral

Review your referralPlease use Back to review your details. Select Submit referral when you are ready to send your information to Socially Together.

Please do not fill in this field.

Socially Together

Disability support across South Australia. Supported Independent Living, core supports and support coordination.

Supported by Oyster Care Foundation
Registered NDIS provider
Registration number and ABN to be confirmed before launch.

Supports

Supported Independent Living
Core supports
Support coordination
NDIS funding guide
Where we work

Contact

0451 136 786
admin@sociallytogether.com.au
1/90 King William Street, Adelaide SA 5000
Partner with us
Careers
Monday–Friday, 9am–5pm

We acknowledge the Kaurna people as the Traditional Owners of the land on which we work in Adelaide, and pay our respects to Elders past and present. We also acknowledge all Aboriginal and Torres Strait Islander peoples across South Australia.

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