Referral – Essence Ability

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SEND US A REFERRAL

We welcome referrals from participants, families, support coordinators, allied health professionals, and community organisations.

Our team values collaborative partnerships and aims to respond to enquiries promptly.

Referral Details

Full Name

Organisation (if applicable):

Role / Relationship to Participant:

Phone Number:

Email Address:

Participant Details

Participant Name:

Date of Birth:

Phone Number:

Email (if available):

NDIS Number & Plan Dates:

Funds Management

☐ Self-Managed ☐ Plan Managed ☐ NDIA Managed ☐ Unsure

Support Needs:

Support Requested

☐ Assistance with Daily Life ☐ Development of Daily Living & Life Skills ☐ Community Participation ☐ Psychosocial & Recovery‑Focused Support (Non-Clinical) ☐ Family / Carer Support ☐ Short Stay & Respite

Preferred Start Date:

Preferred Days / Times (if known):

Location / Suburb for Supports:

Additional Information

Please share any important information that will help us understand the participant’s needs, goals, or circumstances.

Consent

☐ I confirm that the participant (or their authorised representative) has given consent for this referral and for their information to be shared with Essence Ability.

Essence Ability acknowledges the Traditional Custodians of the land on which we provide services and pay our respects to their Elders past and present. We recognise their continuing connection to land, waters, and culture, and we are committed to honouring Aboriginal and Torres Strait Islander peoples’ histories and ongoing contributions to our communities.

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CLIENT SERVICE TEAM

0449 889 889

EMAIL US

info@essenceability.com.au

ADDRESS

Canberra- Australia

LOCATION

We are located throughout the ACT and NSW and are expanding our services across Australia.