Referral form

Are you interested in receiving supports from Firstchance? Then complete our online referral form below or you can read more information on how to refer to Firstchance.

Our 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