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General Practitioner

Specialist Clinic

Telehealth Provider

Community Health Worker

Provider Details

Owner Details

Additional Information

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Provider Details

Please provide the details of your NDIS provider business.

Provider Name *

ABN *

Australian Business Number (11 digits)

Is NDIS Registered?

Check this box if your provider is registered with the NDIS.

Address *

State *

Postcode *

Timezone*

Business Email *

Services Provided/Registration Group

Select all the services that your provider offers.

Support Coordination

Assistance With Daily Life Tasks In A Group Or Shared Living Arrangement

Exercise Physiology & Personal Well-being Activities

Specialist Positive Behaviour Support

Customised Prosthetics (includes Orthotics)

Home Modification Design And Construction

Development Of Daily Living And Life Skills

Assistance Animals

Assistive Products For Household Tasks

Therapeutic Supports

Assistive Products For Personal Care And Safety

Innovative Community Participation

Hearing Equipment

Assistance to Access and Maintain Employment or higher education

Daily Personal Activities

Vision Equipment

Specialised Supported Employment

Early Intervention Supports For Early Childhood

Specialised Driver Training

Group And Centre Based Activities

High Intensity Daily Personal Activities

Personal Mobility Equipment

Vehicle Modifications

Assistance In Coordinating Or Managing Life Stages, Transitions And Supports

Specialised Disability Accommodation

Community Nursing Care