Referral

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Make a Referral

The first step is just sharing what you know so far.

Submitting a referral is the first step toward discussing Behaviour Support with YMT Care. Sharing some initial information about the participant and their circumstances helps us understand the support being requested and determine the most appropriate next steps.

What happens next

From submission to conversation

01

Referral submitted

YMT Care receives and reviews the information you provide.

02

Initial discussion

We may contact you, or the participant,
to clarify details and better understand the support being requested.

03

Next steps, together

Based on the information available and the participant’s circumstances, we’ll discuss the appropriate next steps together.

Need help with the referral?

1. REFERRER DETAILS

Hospital / Facility Name

Ward / Unit

Referrer Name

Position

Phone Number

Email Address

2. PARTICIPANT DETAILS

Participant Full Name

Date of Birth

NDIS Number (if known)

Relationship

Contact Number

Discharge Address

3. SUPPORT INFORMATION

Reason for Referral

Current Behaviour Support Needs

Brief Description of Behaviours of Concern (if applicable)

Current Supports and Professionals Involved

Any Relevant Information YMT Care Should Know

4. SUPPORTING DOCUMENTS

File Uploads

I consent to YMT Care being contacted regarding this referral and to the information provided being used to determine appropriate next steps.