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  1. Help and support
  2. Referral form

Referral form

Thank you for expressing interest in receiving support from Firstchance. 

Firstchance provides early intervention and school-aged support to children aged 0-12 years however, we only accept referrals for children aged 0-9 years.

Please complete our online referral form and we will be in touch with you as soon as possible.

Whilst you are waiting to hear back from us, why not follow us on our Facebook or Instagram page. 

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

Published: 18th April, 2019

Updated: 3rd April, 2023

Author:

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Charity number: CFN14799
ACN: 648 639 374  ABN: 52 869 620 304