Start a referral

We are very grateful you are considering receiving NDIS Supports from us at Kind Humans. As a participant you can fill in this form yourself, or carers, family members or support team can fill it in on your behalf.

Referring persons – Important to note

If you’re referring a participant, you’ll be asked to provide your details after submitting this form. This is part of our informed consent policy to ensure every participant has choice and control and understands and agrees to the supports we offer.

Kind Humans is a values-driven, human-centred NDIS provider offering quality NDIS supports Brisbane-wide, Logan and Ipswich.

Start a referral

Person making the referral

Participants First Name

Participants Last Name

Participant Address

Address

Suburb

State

Post Code

Participant Email

Participant Phone/Mobile

Date of Birth

NDIS Registration Number

NDIS Funding Source

What supports do you / the participant require?

Daily living supports

Psychosocial recovery coaching

Work and study support

Travel and transport assistance

Life skills and capacity building

Community and social participation

Other (please specify in text box at the end)

Any additional information you would like us to know?

How did you hear about us?

File Upload (if required eg: NDIS Plan)

Choose File

By submitting this form, you’re giving us permission to contact you about support services and store your information safely, in line with our privacy policy. We’ll only use your details to respond to your enquiry or provide support, and we’ll never share your information without your consent. You can ask us to update or remove or unsubscribe your details anytime.