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Referrals

Make a Referral

Our participant pre-screening process ensures Xyston is the right fit before any commitments are made. The process is thorough, confidential, and designed to set everyone up for success.

Before You Begin

The assessment takes approximately 10–15 minutes across 7 sections. Have the following documents ready before starting:

  • Current NDIS Plan or Plan Summary (required)
  • Budget statement showing Support Coordination funding (required)
  • Medical or Allied Health reports
  • Safety or Behaviour Support Plans (if applicable)
  • Guardianship Orders (if applicable)

Accepted formats: PDF, DOCX, JPG — max 10 MB per file

Please note: Submitting this form does not guarantee service acceptance. Our team will review your submission and be in touch to discuss next steps.

Why We Do This

A thorough pre-screening process protects participants and ensures we can deliver the level of care you deserve.

Ensure the Right Fit

We assess whether our services align with your NDIS goals before any commitments are made.

Understand Your Needs

The assessment gives us the context to tailor our approach from day one.

Support Your Safety

We can prepare appropriately for any risk or complexity identified upfront.

Maintain Transparency

All information is handled confidentially under the Privacy Act 1988 (Cth).

What the Form Covers

Seven sections covering everything we need to assess suitability and prepare the best possible support from the start.

01

Participant Information

Full name, date of birth, contact details, NDIS number, and primary contact person.

02

NDIS Plan & Goals

Plan dates, funded support areas, remaining budget, plan document upload, and participant goals.

03

Holistic Support Needs

Primary disability, medical reports, current supports in place, and barriers to achieving goals.

04

Initial Risk Considerations

Known risks, restrictive practices history, and any existing safety or behaviour support plans.

05

Legal & Consent

Guardian or Power of Attorney details, confidentiality agreement, and conflict-of-interest disclosure.

06

Communication & Culture

Preferred communication methods, language, and any cultural considerations to be aware of.

07

Declaration

Confirmation of accuracy and electronic signature (type full name).

"The quality of service and the relationships the staff have built with my child has been exceptional. I have full confidence in the Xyston team."

Parent of Participant

Perth, Western Australia

Ready to Submit a Referral?

Contact us to receive the referral form or to talk through a participant's situation directly with our team. We're available by phone or email.

All information is handled confidentially in accordance with the Privacy Act 1988 (Cth).