Refer a Participant

For urgent or crisis situations, please call us directly on 0481 370 086 rather than submitting this form, so we can respond immediately.

Fast Response

We aim to respond to every professional referral within one business day, often sooner.

Provider Capability Statement

Download our one-page capability statement to share with your team or keep on file.

Download PDF

Currently Accepting Referrals

We're taking new participants now across Adelaide and South Australia — get in touch to confirm availability.

Referral Form

Tell Us About the Participant

Fill in as much detail as you have available — you don't need every field to get started, and we'll follow up directly with you or the participant to fill any gaps.

Your Details (Referrer)

Your Full Name *

Organisation / Agency *

Your Role

Your Phone Number *

Your Email Address *

Participant Details

Participant's Full Name *

Participant's Contact Number

NDIS Participant Number

Plan Management Type

Services Required

Priority

Referral Details *

I confirm I have the appropriate authority or consent to share this participant's information with Uplift Support Services for the purpose of this referral, in line with the Privacy Policy. *

Support worker and NDIS participant reviewing a referral together