Make a Referral

Details of NDIS Participant
Please include the details of the NDIS participant who would like to participate.

Full Name *

First

Last

Date of Birth *

Mobile Number *

NDIS Number *

Email Address *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Details of Person Making Referral

If it is the same as above, please leave it blank.

Full Name

First

Last

Mobile Number

Email Address

Name of Organisation

Details of Plan Manager

If it is the same as above, please leave it blank.

Name

First

Last

Mobile Number

Email

Name of Organisation

Message

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Prestidge acknowledges Aboriginal and Torres Strait Islander people as the traditional custodians of the lands throughout Victoria, where we reside and provide our services. We hold immense respect for the wisdom and guidance of the Elders, both past and present, as well as the emerging leaders and the young generation who carry the future of this land. We deeply appreciate the rich cultural heritage and historical significance of Aboriginal and Torres Strait Islander communities, and we honor their profound connection to the land, water, and sea. Their heritage is an integral part of their identity, and we are committed to preserving and celebrating this legacy with reverence and sincerity.