Submit a referralPages

Submit a referral

Start a referral with Copath.

Use this guided form to share the essentials. Please only include information you have permission to share.

A guided referral pathway

Let’s explore support that fits your life.

Share the information needed to start a conversation. Copath can clarify service options and next steps with you later. Questions before starting? Call 0478 387 002.

Online referrals are being prepared. This form is available to preview, but submissions are not open yet.

Step 1 of 3: The connection
Step 1 of 3

Start with the connection.

Tell us who is making the referral, confirm consent and identify any services that may be relevant.

  • Referral relationship
  • Consent confirmation
  • Contact details
Who is this referral for? required

Choose the option that best describes the referral.

If referring someone else, has consent been provided? required when referring someone else

The person being referred, or their authorised representative, must agree to this information being shared.

Your contact details

Copath will use these details to follow up about the referral.

Digits and common phone symbols only.
Services being explored (optional)

Select any that may fit. The team can help clarify options later.

Your information stays in this browser until the final submission.

Step 2 of 3: The person
Step 2 of 3

Tell us about the person.

Share the essential details Copath will need to understand who the referral is for and how to make contact.

  • Preferred details
  • Contact information
Participant details

Use the person’s preferred name and current contact details.

You can return to the previous section without losing your answers.

Step 3 of 3: The support picture
Step 3 of 3

Complete the support picture.

Share a short, general description of the support being explored.

  • Support goals
  • Funding status
  • Privacy consent
Reason for the referral

Focus on what is happening now, what the person would like to achieve and why support is being explored.

Share goals, priorities and relevant support or safety needs. You may briefly mention a health consideration if it affects the support being explored. Do not include medical records, NDIS numbers or identity documents.0 / 2000
Does the person currently have NDIS funding? required
Final details

Review your referral

Check the details below before sending. You can go back and change anything.

Referral and consent
Your contact details
Person being referred
Services being explored
NDIS funding
Support being explored

The referral is sent only when you select “Send referral”.

Get in touch Contact

Choose how to connect

Call us0478 387 002 Submit a referralShare a support enquiry