Make a referral without the back-and-forth

Use this form to send an NDIS or disability support referral to AmizaCare. Include the practical details that help us check service fit, funding pathway, availability and next steps.

Referral details

Only send information you have consent or authority to share. Do not use this form for emergencies or immediate medical concerns; call 000 in an emergency.

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Aboriginal flag

AmizaCare respectfully acknowledges the Traditional Custodians of the lands on which we work across Western Sydney. We pay our respects to Elders past and present, and recognise the continuing connection of Aboriginal and Torres Strait Islander peoples to land, waters, culture and community.

Torres Strait Islander flag