NDIS Service Enquiry

Thank you for your interest in using Learning Links’ NDIS programs and services.

Please fill out the form below and a member of our Intake team will be in touch shortly to discuss your family’s needs.

Alternatively, you can get in touch over the phone by calling 1300 003 900.

Click Here for Other Service Enquiries Click Here for Session Cancellations

Parent/Carer Information

First Name:*
Last Name:*
Email:*
Phone:*

Child Information

First Name:*
Last Name:*
Date of Birth:*
Gender:*

Service Information

I'm interested in the following programs:

Assessments (Academic, ADHD, ASD, Behaviour, Cognitive, Dyscalculia, Dyslexia, Memory)

Psychological Therapy (Anxiety, Depression, Anger Management, Social Skills Programs)

Social Skills Programs

Speech Therapy Sessions/Assessments

Other

Preferred Learning Links location:

NDIS Plan Information

NDIS Plan Number:
NDIS Plan Start Date:
NDIS Plan End Date:
Government Funding:
NDIS Plan Manager Name:
How did you hear about Learning Links?
Additional Information

Case Record Type
Type
Priority
NDIS

Parent/Carer Information

Child Information

Service Information

NDIS Plan Information

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