Allied Health Referral Form

“Life Choice is not a crisis service, if you are experiencing a crisis and are at risk please call Lifeline on 13 11 14 or emergency services on 000 if required”

At Life Choice we focus on individualised plans of support focusing on each individual participants needs and goals.                                      Please complete the below Allied Health referral and we will be in contact within 10 business days.

Allied Health Referral Form

How is your NDIS Plan Managed

Are you able to provide copies of your plan and relevant documents?

Service Agreements to be sent to

Appointments to be made with:

Invoices to be sent to:

Positive Behaviour Support Plan

Counselling

Dietitian

Exercise Physiology

Occupational Therapy

Psychology

Social Worker

Physiotherapy

Speech Therapy

If unsure you will be offered a Discovery Meeting with our Clinical Team Leader

Assessment/Reports Required

Appointment Location

Next Steps:

Once received and processed:

    • You will be emailed a privacy consent form, service agreement and questionnaire, these documents will need to be returned prior to commencing appointments.
      If aged 0-6 you will be contacted to make a Discovery Meeting appointment with our Clinical Team Leader.                                              If 7+ and unsure of services required you will be contacted and offered a Discovery Meeting.
    • When a clinician is available you will be called by one of our staff members to organise an initial consultation.
    • If there is no clinician available at the time of your request you will be placed on our waitlist and will be sent an email to advise you of this.

Please allow 10 business days for your request to be fully processed.

 Price Guide:

Service NDIS Item Code Hourly Rate
Counselling 15_043_0128_1_3 Counselling Over 7 Years $156.16
Dietitian

12_025_0128_3_3 Dietitian Consultation and Diet Plan Development (under 7) or

15_062_0128_3_3 Dietitian Consultation and Diet Plan Development (over 7)

$193.99

Exercise

Physiology

15_200_0126_1_3 Exercise Physiology- Specific Disability related $166.99

Occupational

Therapy

15_005_0118_1_3 Other Therapy Under 7 Years (ECI) or

15_056_0128_1_3 Other Therapy Over 7 Years

$193.99
Physiotherapy

15_003_0118_1_3 – Physiotherapy (ECI) Under 7 Years or

15_055_0128_1_3 Physiotherapy Over 7 Years

$193.99
Psychology

15_001_0118_1_3 Psychology Services ECI Under 7 Years or

15_054_0128_1_3 Psychology Over 7 Years

$214.41

Speech

Pathology

15_005_0118_1_3 Other Therapy Under 7 Years (ECI) or

15_056_0128_1_3 Other Therapy Over 7 Years

$193.99
Social Work

15_005_0118_1_3 Other Therapy Under 7 Years (ECI) or

15_056_0128_1_3 Other Therapy Over 7 Years

$193.99

Self-Funded

(all of above)

N/A $175.00

Mental Health

Group

15_042_0128_1_3 Counselling Group $57.26

 

Allied Health service fees are charged pro rata accordingly in 15min increments and may include:

Face-to-face session, telehealth session, session prep and pack up time, travel time, consultation with other stakeholders, correspondence with families, documentation (e.g. reports, progress notes, goal tracking).