NDIS Referrals to Essentia Health

Essentia Health Clinics including Gold Coast, Melbourne, and our Telehealth Service DBT Assist accept referrals for individuals with NDIS plans for specialist counselling, recovery coaching, and specialist support coordination through our NDIS Capacity Building Clinic. We are a specialist service supporting individuals with emotion regulation difficulties and complex mental health concerns. We do not offer plan development services as our focus is on psychology, mental health, and behavioural skills development as well as specialist plan coordination.

The NDIS measures each case individually and therefore there is no clear eligibility checklist. However, individuals who experience a disability because of their mental health, and are likely to be eligible for individualised NDIS support. For more information about our Specialist NDIS Capacity Building Clinic please click this link!

What is psychosocial disability under the NDIS?

Psychosocial disability is a term used by the NDIS to describe a disability that may arise from a mental health issue.

Not everyone who has a mental health condition will have a psychosocial disability, but for people who do, it can be severe, longstanding and impact on their recovery. Individuals with a disability as a result of their mental health condition may qualify for the NDIS.

Evidence of Psychosocial Disability form

Evidence of Psychosocial Disability form (PDF 482KB) – to be completed by your most appropriate clinician, and your support worker or appropriate person. This evidence form makes it easier for people with a psychosocial disability and supporters to collect evidence for NDIS eligibility. 

It is important to note, you still need a completed Verbal Access Request (VAR) or Access Request Form (ARF). This form is a collaboration with the Department of Social Services funded Transition Support Project team at Flinders University.

Everyone who applies to the NDIS must meet eligibility criteria. These include age, residency and disability requirements. You must also live in an area where the NDIS is being rolled out. To find out more go to How to apply. 

Further information is available on the Australian Government NDIS website at https://www.ndis.gov.au/understanding/how-ndis-works/mental-health-and-ndis

NDIS Referral Form

Name of individual making referral *

First

Last

Referrer's Business / Organisation Name *

If you have a self-managed plan please type “self” in the box above

Referrer's Email *

Referrer's Phone *

Participant Information

Participant/Client's Name *

First

Last

Cultural Identity

• Aboriginal
• Torres Strait Islander
• Aboriginal & Torres Strait Islander
• Anglo Australian
• CALD
• Other

Participant/Client's Date of Birth *

NDIS Number

Type of NDIS Plan *

• Self-Managed
• Plan Managed
• Combination of Self & Plan Managed

Plan Managers Details *

If same as referrer please type “same as referrer”

Type of Support Requested *

• Individual intervention and counselling
• DBT or Skills Groups
• Behaviour support (including Positive Behaviour Support Plans)
• Capacity and skill building (e.g. emotion regulation)
• Cognitive and diagnostic assessments
• Other

Item Reference Number: Individual Therapy

Please provide the Item Reference Number for individual therapy identified on your participant’s plan. NDIS payments system applies unique numbers for each support line item and providing the Item Reference Number will enable our accounts team to issue the correct Item Reference Number on each invoice.

Item Reference Number: Skills Group

Please provide the Item Reference Number for Skills Group identified on your participant’s plan. NDIS payments system applies unique numbers for each support line item and providing the Item Reference Number will enable our accounts team to issue the correct Item Reference Number on each invoice.

Upload Supporting Documents

Click or drag files to this area to upload. You can upload up to 4 files.

Further Inquiry Details *

Please provide an overview of the support requested including: anticipated duration of support, special requests, orientate Essentia Health to any particular preferences or needs.

Submit