Register for NDIS Plan Management Online Or By Phone

Signing up or switching plan managers is easy.

You can:

Provide us with your name and contact details in the form below and we’ll be in touch to work through the detail.
And, if you’d like to sign up or refer someone online, choose your relationship to the Participant from the drop down menu in the grey box and complete some or all of the form that will be revealed. Don’t forget to click on the red button at the end.
If you’d prefer to speak with someone you can call us on 1300 05 78 78 to speak with one of our plan managers who can help you today.
Or, download, print out, fill in and email us your application form. You can find the forms here.

First name *

Last name *

Contact number *

Email address

And, if you’d like to sign up or refer someone, select your relationship to the Participant below and fill in the form. If you’re not sure what to put in an area, please leave it blank and we’ll get this information from you later.

Please choose your relationship to the Participant.

By doing this you will see the form sections that are relevant to you.

Participant's first name

Participant's last name

Participant's date of birth

Participant's NDIS number

Apartment/Unit number

Street address

City or suburb

Postcode

State

Participant's email address

Participant's contact number

NDIS Plan start date

NDIS Plan end date

Please attach a copy of your Plan (or we can get it from you later) Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx.

Do you have a Support Coordinator?

Yes

Yes If yes, please provide details.

First name

Last name

Contact number

Email address

Company (if relevant)

I have the authority to act on behalf of the Participant and I have read and agree to Leap in! Plan Management Terms (our Service Agreement).

I do not have authority to accept terms on behalf of the Participant – this is a referral only.

I have read and agree to Leap in! Plan Management Terms (our Service Agreement).

I would like to hear and agree to the Leap in! Plan Management Terms over the phone.