Access to NDIS

This form is used to gather information regarding a STA/MTA client of providential homes that may be eligible for NDIS. Once completed, one of our staff will be access the completed form and start the assessment process. 

For information from the NDIS with regards to access, supporting evidence forms & the list of conditions that meet NDIS requirements please see these links below. 

  • Access Request Questions
  • Access Request Form
  • Am I Eligible?
  • Providing Evidence of your Disability
  • List of disability conditions most likely to access NDIS

Providential Homes 

Please complete the form below and one of our team members will be in contact with the person on the form. If you have any questions, you can reach us via email or call

Contact Information

12B/18 Groves Ave,
Mulgrave NSW 2756

(02) 4709 6733

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