Nunyara Care Plus Referral Form

First Name *

Last Name *

Phone *

Email *

Date of birth *

Address

Street Address

City

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NDIS Number:

NDIS Payment Type:

Name of Plan Manager:

Support Coordinator Organisation:

Support Coordinator Phone:

Support Coordinator Email:

Additional Information

Client / Representative Full Name:

Support Coordinator Name:

COMPANY

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REFERRAL FORM

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Accessibility Statement

Acknowledgement of Country – Nunyara Care Plus

Nunyara Care Plus acknowledges the Traditional Custodians of the lands on which we live and work — the Wurundjeri Woi-wurrung and Bunurong peoples of the Kulin Nation — and recognises their ongoing connection to land, waters, culture and community.

We pay our respects to Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander peoples.

We also acknowledge Aboriginal peoples and communities across Australia, including the Barngarla people of the Eyre Peninsula, and recognise the richness and diversity of living cultures and histories.

We respect and support people of all sexualities, gender identities, and expressions. Nunyara Care Plus is committed to inclusive, safe, and affirming care for LGBTQI+ communities.

Our Commitment to Regulatory Compliance

Nunyara Care Plus is a proudly nurse-led organisation committed to delivering safe, ethical, and person-centred care.

We operate in full alignment with Australian regulatory standards, including:

AHPRA Advertising Guidelines – All communications are accurate, responsible, and free from misleading claims.
NMBA Code of Conduct for Nurses – Our care is grounded in respect, integrity, and cultural safety.
Registered Nurse Standards for Practice – All clinical care is led by Registered Nurses who uphold these national standards.