Referral Form

Refer a participant to Kaya Care WA

Support coordinators, plan nominees, families and participants can all submit a referral. We'll respond within 1–2 business days.

Two people shaking hands to confirm a referral

Plan Management Referral

Refer a participant for NDIS plan management services. Submit your referral through our secure online form — it only takes a few minutes.

You'll need:

  • Participant's contact details
  • NDIS plan information
  • Confirmation of participant consent

Open Plan Management Referral

Support Coordination Referral

Refer a participant for NDIS Support Coordination. Submit your referral through our secure online form — it only takes a few minutes.

You'll need:

  • Participant's contact details
  • NDIS plan information
  • Confirmation of participant consent

Open Support Coordination Referral

General Enquiry

Not ready to make a referral, or have a general question? Use our enquiry form to tell us about your needs and we'll discuss the best approach for you.

Great for:

  • Initial consultations
  • Understanding service options
  • Discussing specific support needs

Submit Enquiry

Prefer direct contact? Email admingroup@kayacare.com.au or call 0468 895 292 during business hours (Mon–Fri, 9am–5pm).