Referral Form Terms & Conditions

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By submitting this referral form, you acknowledge and agree to the following:

1. Consent to Collect Information

You confirm that the information provided in this referral form is true and accurate to the best of your knowledge. If you are submitting this referral on behalf of another person, you confirm that you have their consent, or the consent of their legal guardian or authorised representative, to provide this information.

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2. Privacy

Gateway Support Care respects your privacy and is committed to protecting your personal information. Any personal, health or NDIS-related information collected through this referral form will only be used for the purpose of assessing the referral, coordinating supports and delivering services in accordance with applicable Australian privacy laws.

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3. Consent to Contact

By submitting this referral, you consent to Gateway Support Care contacting the participant, their nominee, guardian or authorised representative to discuss support needs, eligibility and available services.

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4. Information Sharing

Where consent has been provided, Gateway Support Care may communicate with relevant parties including:

• The National Disability Insurance Agency (NDIA)

• Local Area Coordinators (LACs)

• Support Coordinators

• Plan Managers

• Allied Health Professionals

• Medical Practitioners

• Hospitals

• Schools or Education Providers

• Other NDIS providers involved in the participant's care

Information will only be shared where reasonably necessary to coordinate supports or where required by law.

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5. No Obligation to Provide Services

Submitting a referral does not guarantee acceptance or commencement of services. Gateway Support Care will review each referral to determine service availability, suitability and funding requirements before confirming supports.

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6. Accuracy of Information

The person submitting this referral is responsible for ensuring the information provided is complete and accurate. Providing incorrect or misleading information may delay or affect the referral process.

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7. Emergency Situations

Gateway Support Care does not provide emergency or crisis services through this referral form. If there is an immediate risk to a participant's health or safety, please contact 000 or the appropriate emergency service immediately.

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8. Communication

By submitting this form, you consent to Gateway Support Care contacting you via phone, SMS or email regarding this referral, service enquiries, appointment scheduling and onboarding.

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9. Withdrawal of Consent

Consent to collect or share information may be withdrawn at any time by contacting Gateway Support Care in writing. Withdrawal of consent may limit our ability to coordinate or provide services.

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10. Acceptance

By submitting this referral, you acknowledge that:

• You have read and understood these Terms & Conditions.

• You have authority to submit this referral.

• The information provided is accurate to the best of your knowledge.

• You consent to Gateway Support Care collecting, storing and using this information for the purpose of assessing and coordinating supports.