Request support from Better Care Living

Tell us what support you are looking for and our team will come back to you. We work with NDIS participants, older Australians, families, carers and professionals across Brisbane, the Gold Coast, Logan, Ipswich, Moreton Bay, the Sunshine Coast and the Redlands.

Start your request Call 0493 376 525

Prefer to email? Write to [email protected] and we will take it from there.

Request Support Form

Your name

Organisation (if any)

Your role

Your phone

Your email

Preferred contact method

Phone Email

First name of person needing support

Last name of person needing support

Date of birth

Suburb

Postcode

Their phone or email (if different)

Aboriginal and/or Torres Strait Islander?

Interpreter required?

No Yes

Language

Communication

Other (please specify)

What support are you looking for?

Funding type

Plan Manager name

Plan Manager email

NDIS number

Plan end date

Is there a Support Coordinator on the plan?

Yes — me Yes — someone else No

Coordinator name

Requested support pattern

Urgency

Urgent — within 48 hours This week Planning ahead

Requested start date

Primary diagnosis or disability (if known)

Secondary diagnoses or conditions

Mobility

Medication support needed?

Known risks or behaviours of concern (if any)

Behaviour Support Plan in place?

Yes No In development Unknown

Restrictive practices authorised?

Yes No Unknown

Forensic Order or Treatment Authority?

Yes No Unknown

Falls risk?

Yes No Unknown

GP name and clinic

Other providers involved

Document upload

Notes

NDIS plan, Behaviour Support Plan, discharge summary, assessments — PDF or Word, up to 10MB each.
“No documents yet? Submit anyway and we’ll follow up.”

How did you hear about us?

Anything else we should know?

Consent confirmation

I confirm the participant, or their guardian or representative, has consented to this referral and to sharing their information with Better Care Living.

Referral information stays private and is handled under our Privacy Policy. We respond to every referral within one business day.