NDIS Services Intake Form

The team at SBH Queensland has a specialised understanding of all matters relating to spina bifida and hydrocephalus. Our unique service has a long-standing relationsip with the Department of Education and QLD Health which ensures that a holistic approach is taken when supporting you and/or your child as you go on the NDIS journey.

We offer all regular services in Brisbane and surrounding areas and outreach services to Townsville, Cairns, Mackay, Rockhampton, Bundaberg, Hervey Bay, Toowoomba, Dalby and Mt Isa.

Please complete the form below:

Name *
Name
Sex *
Address *
Address
NDIS Information
NDIS Goals
I would like to email a copy of my NDIS plan
Please email ndis@sbhqueensland.org.au a copy of your NDIS plan.
Services
What clinicians would you like to see at SBH Queensland? *
What programs and/or services would you like more information on?
Do you have a Plan Manager (PM)? Please choose.
Further Contact
How would you like us to contact you? *
Referrer Details (If not self-referred)
Referral Consent

Alternatively, you can download the PDF version of the NDIS Services Intake Form and return to ndis@sbhqueensland.org.au.