Leap in! Plan Management Registration

Located on the Gold Coast, Kare Support Services specialises in social and community participation, therapy assistance, support work, transport assistance and relaxation massage.

As a member of their Provider Network, we recommend the services of Leap in!, a not-for-profit, specialist plan manager who shares our values around delivering premium NDIS services that assist people with a disability to achieve positive outcomes and live their best life.

How to register with Leap in!

Enter your details in the form below and upload a copy of your NDIS plan.
Read and agree to the Leap in! terms.
Click on the “Send” button.

Participant Details
Please Note: All details must match those listed on the participants NDIS plan.
Participant First Name*
Participant Last Name*
Participant Date of Birth
Date Format: DD slash MM slash YYYY
Street Address
Suburb
State
Postcode
NDIA Participant Number
NDIA Plan Start Date
Date Format: DD slash MM slash YYYY
NDIA Plan End Date
Date Format: DD slash MM slash YYYY
Improved Life Choices/CB Choice Control
(Amount listed on NDIS Plan or Portal) - this is your Plan Management budget.
Please attach a copy of your Plan
(or alternately, we will request this from you at a later stage)
Accepted file types: jpg, gif, png, pdf, doc, docx.
Nominee/Participant Contact Details
Nominee First Name (If this is your NDIS plan, simply write your name)*
Nominee Last Name (If this is your NDIS plan, simply write your name)*
Email Address
Contact Mobile*
Relationship to Participant
How did you hear about Leap in!?
Agreement*
- I agree the details I have provided are correct.
- I have read and agree to Leap in! Plan Management Terms.
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Comments
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