Make a Referral, Kia Maia Care Supports

In a hurry, or not a coordinator?

You don't have to fill in the full referral. Call, email, or send a short message — we'll respond within one business day.

Or fill out the full referral below — best for support coordinators.

Don't fill this out:

About you (the referrer)

Your name

Your role

Organisation (if applicable)

Phone

Email

About the participant

Participant name

Participant age

Participant location

NDIS number (if available)

Plan type

Preferred start date

Services needed Hold Ctrl / Cmd to select more than one.

Support needs summary

Risks or important notes

Upload supporting documents (optional)

I confirm I have permission to share these details and the participant (or their guardian) consents to this referral being made.

Our team will review the referral and contact you about the next steps. If anything is urgent, please call us using the number in the footer.

After you submit

Here’s what happens next.

01

You’ll receive confirmation within one business day.

02

We assess fit, capacity, and timing.

03

Direct response, clear and honest.

04

If we’re a fit, we plan the start together.