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At Designer Life, our NDIS Services are designed by you, for you – so tell us a bit about yourself, and we’ll tailor our support to suit your goals.

To help us provide the right support, tell us about yourself *

NDIS ParticipantFamily member or carerSupport coordinator / NDIS ProviderOther

Other (please specify) *

Please advise your relationship to the NDIS participant *

Participant First Name *

Participant Last Name *

Participant Date of Birth *

Participant Phone

Participant Email *

Participant Address Details:

Street addressStreet address line 2

City

State

Postcode

Country

Would you like us to contact you via phone or email? *

PhoneEmail

Does the NDIS Participant have a current NDIS plan? *

YesNo

Contact First Name *

Contact Last Name *

Contact Phone *

Contact Email *

Would you like us to contact you via phone or email? *

PhoneEmail

Provider Business Name *

Location *

How can we help you? *

Youth Employment AssistanceEmployment Assistance over 25 years of ageSchool Leaver Employment Supports (also called Employment Assistance)Improved LearningTransition from school into further education supports – learning supportSupport Coordination (Level 1 and Level 2)Development of Daily Living and Life SkillsParticipate in community activitiesSupports in EmploymentAssistance to change jobsMentoring, peer support, and individualised skills developmentEmployment related assessment, counselling and adviceAssistance with Social and Community ParticipationCapacity Building in Self-Management and Plan ManagementOther

Other (please specify)

We offer one-off life skills activities and capacity building workshops—practical, hands-on opportunities to grow your confidence and independence, and to start building towards your future goals.
Would you like more information about our design your own NDIS Services – designed by you, for you?

YesNo

Please select the Designer Life Career Centre closest to you

CabooltureFortitude ValleyStrathpineOnlineOther

Other

Message *

Where did you hear about our NDIS Services?

GoogleDesigner Life WebsiteSocial MediaWord of MouthNDIS ProviderCommunity EventOther (please specify)

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DESIGNER LIFE HEAD OFFICE: 16 Dixon St, Strathpine Q 4500 www.designerlife.com.au (07) 3333 2055 ndis@designerlife.com.au