Uniting SA
  • Aged Care
  • Community Services
  • Housing
  • NDIS
  • About Us
  • Contact
  • Search
  • A-
  • A+
  • Donate
  • phone
  • email
  • Residential Aged Care
  • Respite Care
  • Home Care
  • Retirement Living
  • How to Apply
  • Seaton Aged Care
  • Wesley House Aged Care
  • Westminster Village Aged Care
  • West Lakes Aged Care
  • Hawksbury Gardens Aged Care
  • Book A Tour

Nobody can do everything but everyone can do something

Donate
  • Mental Health
  • Supported Employment
  • Employment and Training
  • Young People
  • Children and Families
  • Homelessness Services
  • Emergency Assistance
  • Taperoo Community Centre

Nobody can do everything but everyone can do something

Donate
  • UnitingSA Housing
  • Retirement Living
  • Homelessness Services
  • Upcoming Developments
  • Specialist Disability Accommodation
  • For Tenants

Nobody can do everything but everyone can do something

Donate
  • NDIS Services
  • Specialist Disability Accommodation

Nobody can do everything but everyone can do something

Donate
  • Overview
  • Since 1919
  • News & Publications
  • Get Involved
  • Join the Team
  • Volunteering in Aged Care
  • Corporate Information
  • Upcoming Developments
  • Reconciliation Action Plan
  • Board of Directors
  • Leadership Team
  • Aged Care
    • Residential Aged Care
    • Respite Care
    • Home Care
    • Retirement Living
    • How to apply
  • Community Services
    • Mental Health
    • Supported Employment
    • Employment and Training
    • Young People
    • Children and Families
    • Homelessness Services
    • Emergency Assistance
    • Taperoo Community Centre
  • Housing
    • Portway Housing Association
    • UnitingSA Housing
    • Retirement Living
    • Homelessness Services
    • Upcoming Developments
    • SDA Homes
    • For Tenants
  • NDIS
    • NDIS Services
    • Specialist Disability Accommodation
  • About Us
    • Overview
    • Since 1919
    • News & Publications
    • Get Involved
    • Join the Team
    • Volunteering in Aged Care
    • Corporate Information
    • Upcoming Developments
    • Reconciliation Action Plan
    • Board of Directors
    • Leadership Team
  • Contact
  • Donate
  • phone Call Now    email Email Us

Referral for NDIS
Support Services

NDIS Referral Form

"*" indicates required fields

Step 1 of 4

25%

Your details (Participant)

Name*
Date of birth*
Address*
What is your preferred method of contact?*
What is your preferred document style?*

Your NDIS Plan

Do you wish to share a copy of your NDIS Plan with us?*
If you have a digital or scanned copy of your NDIS Plan, please upload it here
Accepted file types: pdf, Max. file size: 10 MB.
To best support you, we would like to know what your NDIS Plan goals are
Do you know your NDIS Plan start and review dates?*
NDIS Plan start date*
NDIS Plan review date*
Do you require a translator?*
Do you have any health concerns?*
eg. Diabetes, Asthma, Epilepsy
Do you have a Mealtime Management Plan?*
Do you have a Positive Behaviour Support Plan (PBSP)?*

Support Requested

What support(s) are you requesting?*
eg. shopping, appointments, job applications, on-the-job support, employment skills
Preferred days and times of support*
Monday
Tuesday
Wednesday
Thursday
Friday
 
Preference of worker
Do you have any other supports with UnitingSA?*
Are you interested in any other supports provided by UnitingSA?*

Contact Information

Who would you like us to contact about this referral?*
Please provide the details of someone else we can contact if we cannot get in touch with you, or if you need someone to assist you with accessing our support, such as a relative, close friend or carer.
UnitingSA makes every effort to ensure supports are respectful of each Participant's culture, diversity, values and beliefs.

Is there any additional information you would like to share (for example, likes/dislikes, behaviours of concern, Support Coordination contact information)?
Please be advised that submitting this request is not a guarantee that services will be offered to you.
Donate

Nobody can do everything but everyone can do something.

UnitingSA relies on the generosity of donors to help deliver innovative programs and support for people in need across metropolitan and regional South Australia.

People Supported

12,583

“I would still be on the streets if it wasn’t for the support of UnitingSA. It means the world to me to have a house for my whole family and to be able to tuck my children in at night.”

William,
Received support from UnitingSA Homelessness Services

UnitingSA was established in 1919 and provides housing, aged care and community services to support people across regional and metropolitan South Australia. More than 1000 employees and volunteers deliver high quality services to more than 12,000 people from diverse backgrounds to realise UnitingSA's vision of a compassionate, respectful and just community in which all people participate and flourish.

UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

UnitingSA is committed to safe and inclusive work places, policies and services for LGBTIQ+ communities and their families.


  Aboriginal Flag design by Harold Thomas   Torres Strait Islander Flag design by the late Bernard Namok   Progress Pride Flag design by Daniel Quasar

Aged Care

  • Residential Aged Care
  • Respite Care
  • Retirement Living
  • Home Care
  • Health & Well Being
  • ACAT Support
  • Community Aged Care

Community Services

  • Supported Employment
  • Employment Training
  • Mental Health
  • Young People
  • Children & Families
  • Homelessness Services
  • NDIS
  • Emergency Assistance

Housing

  • UnitingSA Housing
  • Retirement Living
  • Residential Aged Care
  • Homelessness Services

About Us

  • Overview
  • Join The Team
  • Volunteer
  • Contact Us
  • News
  • Donate

Contact Us

Contact

unitingsa@unitingsa.com.au

(08) 8440 2200

Location

70 Dale Street
Port Adelaide, SA 5015

Postal Address

P.O. Box 3032
Port Adelaide, SA 5015

  • Privacy Policy
  • Terms and Conditions
  • Intranet
© 2025 UnitingSA
  • Phone icon
  • Email icon
  • Facebook icon
  • Instagram icon
  • X (formally known as Twitter) icon
  • LinkedIn icon