Refer to Windermere

Do you know someone who would benefit from one of our life-changing programs?

If you would like to refer someone to Windermere for a service (with their prior consent) please fill in the following form below. If you wish to enquire about a program for yourself, please visit the applicable service page. If you wish to refer someone to on of our NDIS services, please click here.

Fields marked with an asterisk are compulsory.

How to Refer handy reference guide

Our easy to follow How to Refer guide captures all of ur services and the best way to access them.

Download a copy here.

Referrer Details

First Name *

Last Name

Email * eg. abc@abc.com.au

Phone eg. 04xxxxxxxx or 03xxxxxxxx

Company / Group

Postcode *

Do you have the person's permission to refer?

Yes
No

Referee Details

First Name *

Last Name

Is it advisable to contact the referee directly? *

Yes
No

If no, please provide details on the best way to make contact. Please enter preferred contact details

Please provide a brief message below

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