Referral form

Thank you for expressing interest in receiving supports from Firstchance. 

As a result of the unfolding Coronavirus / COVID-19 situation we are currently facing, Firstchance will not be seeing any new families. At this point in time our resources and team are committed to developing and implementing new service delivery options for existing families we support. 

If you have the time, please complete our online referral form and we will place you on a waitlist. 

Whilst you are waiting here back from us, why not follow us on our facebook or instagram page. 

The referral form will take 15-20 minutes to complete and needs to be completed in one sitting. There is no save button that allows you to partially complete and come back later to finish. 

What you will require before you start:

• Your child's NDIS participant number (if one has been issued)
• Electronic copies of any relevant reports (scanned copies or images are ok)
• Details or any current service providers
• If you are referring on behalf of a family you will be required to know sibling details (name, DOB, gender)

Refer