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info@ilasa.com.au
0426 528 305
info@ilasa.com.au
0426 528 305
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Refer a Participant
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Referrers Details
Name
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Email
*
Phone
What Services are you interested in?
Accommodation / Tenacy
Assist-Personal Activities
Community Participation
Daily Task / Shared Living
Assist-Transportation
Participant Details
Name of the Participant
*
Name of the Guardian
Date of Birth
*
Address
Address Line 1
City
State / Province / Region
Postal Code
Gender
Male
Female
Other
NDIS Participant No.
NDIS Plan Date
*
Fund Management
*
Self Managed
Self Managed
Plan Nominee Managed
NDIA Managed
What is the Participants disability?
Reason for Referral
NDIS Pricing Arrangements and Price Limits and Support Catalogue: All our prices are in accordance with the current NDIS Pricing Arrangements and Price Limits document and NDIS Support Catalogue for applicable services. If any of our prices are inconsistent with prices in the NDIS Pricing Arrangements and Price Limits, then the prices in the NDIS Pricing Arrangements and Price Limits, will apply.
Our prices will increase from time to time in line with NDIS maximums.
GST: Most of our prices do not include GST unless provided for in the NDIS Pricing Arrangements and Price Limits. If GST is included, it will be included in the price given to you.
Additional expenses: These are not included as part of a Participant’s NDIS Supports such as stationery, printing costs, internet connection (unless provided complimentary), etc. These are the responsibility of the Participant and/or the Participant’s Representative and are not included in the cost of the Supports.
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Home
About Us
Services
Accommodation/ Tenancy
Assist-Personal Activities
Assist-Travel/ Transport Vehicle
Community Participation
Daily Task/ Shared Living
Refer a Participant
NDIS
Housing
Jobs
Feedback
Contact Us
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