Request for Service Forms

To submit a referral to Healthstyles Clinic, select one of the options below.

  • New NDIS Clients

    For clients brand new to Healthstyles, click here for our Request for Service Intake Form.

    This form supports treatment providers to determine the support required by a presenting participant.

    Once the intake process has begun, we will be in contact to work with you to find out more about your needs, and begin planning your support outcomes.

  • Existing NDIS Clients

    If you or your participant are current or returning clients, click the button below for our Re-Engagement Form.

    Note: If you have not had direct service and/or contact with Healthstyles for more than three months, please defer to the ‘New NDIS Clients’ Form.

    This is an abbreviated version of our intake form to help facilitate continuous engagement for participants.

  • Assessments

    Healthstyles offers comprehensive cognitive, neurological, developmental, school assessment-based, or educational assessments. Click the button below for enquiries.

    Note: If you require a service quote, let our team know and we can work with you to tailor to your requirements.

  • Secret Agent Society Program Kit

    Secret Agent Society™ Program

    Secret Agent Society (S.A.S.) is a Therapeutic program in game form, designed to teach social and emotional skills to children between the ages of 8-12 years.

    Note: If you require a service quote, let our team know and we can work with you to tailor to your requirements.

Once your request form has been confidentially submitted, the form moves to our Intake team who will be in contact to assist you throughout the onboarding process to provide tailored support.

If you have questions about how to submit a referral, you can speak to our team on 1300 240 030 Monday to Friday 8:30 AM to 4:30 PM or e-mail intake@healthstyles.com.au

If you would like to contact the NDIS directly, go to ndis.gov.au