The VHCC acknowledges the Aboriginal and Torres Strait Islander Peoples as the Traditional Custodians of Country throughout Australia and their deep connections to land, sea, and community. We pay our respects to their Elders, past and present, and to emerging leaders, and to their continuing cultural and spiritual customs and practices.

Refer a Client

Complete this form and our intake team will be in touch within one business day.

Referrer First Name *

Referrer Last Name *

Your Role *

Organisation (if applicable)

Participant First Name *

Date of Birth

Preferred Location *

NDIS Plan Status *

Support Types Required

Your Contact Number *

Additional Notes